Provider Demographics
NPI:1922501808
Name:GYEKYE, QUINCY ASSOKU (CEO)
Entity Type:Individual
Prefix:MR
First Name:QUINCY
Middle Name:ASSOKU
Last Name:GYEKYE
Suffix:
Gender:M
Credentials:CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2802 SAINT GEORGE DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-4652
Mailing Address - Country:US
Mailing Address - Phone:469-703-9419
Mailing Address - Fax:
Practice Address - Street 1:5775 PARKWOOD BLVD APT 1120
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7314
Practice Address - Country:US
Practice Address - Phone:469-703-9419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor