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General NPI Number Information
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NPI Number | 1497594550
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Entity Type | Organization
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Legal Business Name | QLMD PLLC
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 24914 KUYKENDAHL RD STE C
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City | TOMBALL
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State | TX
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Zip | 77375-3381
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Country | US
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Telephone | 346-382-0666
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Fax | 346-388-3638
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Provider Business Mailing Address
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Address Line | 6 MILLERS ROCK CT
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City | SPRING
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State | TX
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Zip | 77389-5337
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Country | US
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Telephone | 985-710-2033
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Fax | 346-388-3638
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. QUINCY LUCAS
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Credential | M.D.
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Telephone | 985-710-2033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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