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General NPI Number Information
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NPI Number | 1821981895
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Entity Type | Organization
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Legal Business Name | PERFORMANCE QUEST ENTERPRISE INC
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 18747 MUESCHKE RD STE D
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City | CYPRESS
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State | TX
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Zip | 77433-8759
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Country | US
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Telephone | 281-547-8563
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Fax | 281-407-7536
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Provider Business Mailing Address
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Address Line | 17407 LEDGEFIELD
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City | CYPRESS
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State | TX
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Zip | 77433-2065
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Country | US
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Telephone | 619-861-5016
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MARK GRAVES
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Credential |
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Telephone | 619-861-5016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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