Healthcare Provider Details
I. General information
NPI: 1386817823
Provider Name (Legal Business Name): QUESTCARE OBSTETRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/04/2008
Last Update Date: 04/18/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3901 W 15TH ST
PLANO TX
75075-7738
US
IV. Provider business mailing address
1525 W CYPRESS CREEK RD
FT LAUDERDALE FL
33309-1831
US
V. Phone/Fax
- Phone: 972-758-3598
- Fax: 972-599-9604
- Phone: 973-251-1132
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAREN
VAUGHN
Title or Position: OFFICER
Credential:
Phone: 404-450-4684