Provider Demographics
NPI:1295325728
Name:QUICKMED PRIMARY CARE AND WELLNESS PLLC
Entity type:Organization
Organization Name:QUICKMED PRIMARY CARE AND WELLNESS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERA
Authorized Official - Middle Name:AKUM
Authorized Official - Last Name:AKURO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:832-219-2513
Mailing Address - Street 1:117 LANE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-2263
Mailing Address - Country:US
Mailing Address - Phone:832-219-2513
Mailing Address - Fax:959-207-6221
Practice Address - Street 1:117 LANE DR STE 2
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-2263
Practice Address - Country:US
Practice Address - Phone:832-219-2513
Practice Address - Fax:959-207-6221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-19
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty