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NPI Code Detail

MEDICARE: QTP II, INC.

MEDICARE: QTP II, INC.
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1174039259
Entity Type Code : Organization
Provider Name (Legal Business Name) : QTP II, INC.
Provider Business Mailing Address
First Line : PO BOX 1136
Second Line :
City : MERCEDES
State : TX
Zip : 78570-1136
Country : US
Telephone Number : 956-825-9551
Fax Number : 956-514-1554
Provider Business Practice Location Address
First Line : 208 STARR ST STE 2
Second Line :
City : MERCEDES
State : TX
Zip : 78570-2736
Country : US
Telephone Number : 956-825-9551
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MICHAEL DANIEL HERNANDEZ
Credential :
Telephone Number : 956-514-1551
Provider Enumeration Date : 12/27/2017
Last Update Date : 03/27/2024

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