Provider Demographics
NPI:1972842391
Name:MCQURTER, LINDSAY ALLISON (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:ALLISON
Last Name:MCQURTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:LINDSAY
Other - Middle Name:ALLISON
Other - Last Name:LEAVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18550 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-1791
Mailing Address - Country:US
Mailing Address - Phone:832-541-3884
Mailing Address - Fax:
Practice Address - Street 1:18850 N. 6TH ST.
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-1791
Practice Address - Country:US
Practice Address - Phone:281-252-8600
Practice Address - Fax:281-252-8686
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant