Provider Demographics
NPI:1912446246
Name:Q5 MEDICAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:Q5 MEDICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEANN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:CMA, CMC
Authorized Official - Phone:214-405-6846
Mailing Address - Street 1:7167 COLLEYVILLE BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-8001
Mailing Address - Country:US
Mailing Address - Phone:214-405-6846
Mailing Address - Fax:
Practice Address - Street 1:7167 COLLEYVILLE BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-8001
Practice Address - Country:US
Practice Address - Phone:214-405-6846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20176000158332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies