Healthcare Provider Details

I. General information

NPI: 1467043588
Provider Name (Legal Business Name): QUICKCARE ME MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 02/01/2021
Certification Date: 02/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6181 SARATOGA BLVD UNIT 117
CORPUS CHRISTI TX
78414-2475
US

IV. Provider business mailing address

PO BOX 61160
CORPUS CHRISTI TX
78466-1160
US

V. Phone/Fax

Practice location:
  • Phone: 361-444-5148
  • Fax: 361-444-5499
Mailing address:
  • Phone: 361-884-2904
  • Fax: 361-857-0572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL S LOWRY
Title or Position: MEDICAL DIRECTOR, OWNER
Credential: DO
Phone: 856-498-9073