Provider Demographics
NPI:1184729675
Name:TQC, LLC
Entity type:Organization
Organization Name:TQC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:GASMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-925-5764
Mailing Address - Street 1:2601 MILK RIVER XING
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-3235
Mailing Address - Country:US
Mailing Address - Phone:817-925-5764
Mailing Address - Fax:817-310-6640
Practice Address - Street 1:107 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-5306
Practice Address - Country:US
Practice Address - Phone:817-310-6630
Practice Address - Fax:817-310-6640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251C00000X, 251B00000X, 251S00000X, 251C00000X, 251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered251B00000XAgenciesCase Management
Not Answered251S00000XAgenciesCommunity/Behavioral Health