Healthcare Provider Details
I. General information
NPI: 1437481421
Provider Name (Legal Business Name): BAY AREA QUICK CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/02/2010
Last Update Date: 07/29/2020
Certification Date: 07/29/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9929 S PADRE ISLAND DR SUITE 109
CORPUS CHRISTI TX
78418-5164
US
IV. Provider business mailing address
PO BOX 18450
CORPUS CHRISTI TX
78480-8450
US
V. Phone/Fax
- Phone: 361-937-2121
- Fax: 361-937-2123
- Phone: 361-949-8989
- Fax: 361-949-1515
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 640742 |
| License Number State | TX |
VIII. Authorized Official
Name:
CYNTHIA
KAY
MALOWITZ
Title or Position: PRESIDENT/OWNER
Credential: FNP-C
Phone: 361-937-2121