Healthcare Provider Details
I. General information
NPI: 1306568803
Provider Name (Legal Business Name): QUADRANT TX VIRTUAL CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/13/2022
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
99 E MAIN ST STE 200
FRANKLIN TN
37064-4186
US
IV. Provider business mailing address
PO BOX 33872
BELFAST ME
04915-0616
US
V. Phone/Fax
- Phone: 866-219-8595
- Fax: 315-710-9518
- Phone: 866-219-8595
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TRACY
BURTON
Title or Position: PRESIDENT AND SOLE SHAREHOLDER
Credential: MD
Phone: 813-990-7604