Provider Demographics
| NPI: | 1962274910 |
|---|---|
| Name: | TEXAS QUICK CARE, LLC |
| Entity type: | Organization |
| Organization Name: | TEXAS QUICK CARE, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | MGR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | ALANNAH |
| Authorized Official - Middle Name: | MICHELLE |
| Authorized Official - Last Name: | SPINKS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 936-205-1099 |
| Mailing Address - Street 1: | PO BOX 869 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | TIMPSON |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 75975-0869 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 12815 US HIGHWAY 84 E |
| Practice Address - Street 2: | |
| Practice Address - City: | JOAQUIN |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 75954-2440 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 936-269-3201 |
| Practice Address - Fax: | 936-269-3336 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-10-24 |
| Last Update Date: | 2023-10-24 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
| No | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center | Rural Health | Group - Multi-Specialty |