MEDICARE: QUAS PHYSICAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302F00000X	Exclusive Provider Organization

General Provider Information

NPI Number	:	1083909568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUAS PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	1029 HWY 6 N
Second Line	:	STE 650-192
City	:	HOUSTON
State	:	TX
Zip	:	77079-1043
Country	:	US
Telephone Number	:	832-423-0803
Fax Number	:

Provider Business Practice Location Address
First Line	:	1029 HWY 6 N
Second Line	:	STE 650-192
City	:	HOUSTON
State	:	TX
Zip	:	77079-1043
Country	:	US
Telephone Number	:	832-423-0803
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	QUINCY WASHINGTON
Credential	:
Telephone Number	:	832-423-0803

Provider Enumeration Date	:	06/13/2011
Last Update Date	:	06/13/2011

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