Healthcare Provider Details

I. General information

NPI: 1710199872
Provider Name (Legal Business Name): USMAN QURESHI, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 MEDICAL CENTER BLVD
ALICE TX
78332-5049
US

IV. Provider business mailing address

1008 MEDICAL CENTER BLVD
ALICE TX
78332-4212
US

V. Phone/Fax

Practice location:
  • Phone: 361-668-4278
  • Fax: 361-668-4166
Mailing address:
  • Phone: 361-668-4278
  • Fax: 361-668-4166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberJ8095
License Number State

VIII. Authorized Official

Name: LETTY VILLARREAL
Title or Position: FINANCIAL DEPT. MANAGER
Credential:
Phone: 361-668-4278