Healthcare Provider Details

I. General information

NPI: 1548982770
Provider Name (Legal Business Name): QUINTON CARTER QMHS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2022
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 E SAHARA AVE STE 201
LAS VEGAS NV
89104-3739
US

IV. Provider business mailing address

211 W ATLANTIC AVE
HENDERSON NV
89015-7102
US

V. Phone/Fax

Practice location:
  • Phone: 702-823-4300
  • Fax: 702-906-1844
Mailing address:
  • Phone: 702-823-4300
  • Fax: 702-906-1844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: