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General NPI Number Information
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NPI Number | 1124654132
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Entity Type | Organization
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Legal Business Name | QUICK CLINIC MEDICAL CENTER
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Dates
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Enumeration Date | 03/21/2020
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 4114 AVENUE H
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City | ROSENBERG
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State | TX
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Zip | 77471-2833
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Country | US
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Telephone | 281-725-6182
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Fax | 281-399-5972
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Provider Business Mailing Address
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Address Line | 9722 GASTON RD STE 150-102
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City | KATY
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State | TX
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Zip | 77494-7941
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Country | US
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Telephone | 281-725-6182
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. KESSINGTON ENAYE OKUNDAYE
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Credential | PHD
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Telephone | 818-571-8708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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