Healthcare Provider Details

I. General information

NPI: 1962274910
Provider Name (Legal Business Name): TEXAS QUICK CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2023
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12815 US HIGHWAY 84 E
JOAQUIN TX
75954-2440
US

IV. Provider business mailing address

PO BOX 869
TIMPSON TX
75975-0869
US

V. Phone/Fax

Practice location:
  • Phone: 936-269-3201
  • Fax: 936-269-3336
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALANNAH MICHELLE SPINKS
Title or Position: MGR
Credential:
Phone: 936-205-1099