Healthcare Provider Details

I. General information

NPI: 1699751719
Provider Name (Legal Business Name): TEXAS HEALTH QUEST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 04/06/2022
Certification Date: 04/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5253 PRUE RD STE 230
SAN ANTONIO TX
78240-1759
US

IV. Provider business mailing address

5253 PRUE RD STE 230
SAN ANTONIO TX
78240-1759
US

V. Phone/Fax

Practice location:
  • Phone: 210-349-0096
  • Fax: 210-349-0097
Mailing address:
  • Phone: 210-349-0096
  • Fax: 210-349-0097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number011950
License Number StateTX

VIII. Authorized Official

Name: MARY GARZA
Title or Position: ADMINISTRATOR
Credential: RN, BSN
Phone: 210-349-0096