Provider Demographics
NPI:1770862740
Name:QUALITY PATIENT CARE SERVICES
Entity Type:Organization
Organization Name:QUALITY PATIENT CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CANDI
Authorized Official - Middle Name:L
Authorized Official - Last Name:EDUADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-360-8497
Mailing Address - Street 1:PO BOX 110713
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75011-0713
Mailing Address - Country:US
Mailing Address - Phone:972-360-8497
Mailing Address - Fax:
Practice Address - Street 1:2750 E TRINITY MILLS RD
Practice Address - Street 2:1408
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-2193
Practice Address - Country:US
Practice Address - Phone:972-360-8497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service