MEDICARE: QUALITY CARE PHYSICIANS GREENVILLE PLLC

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	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1184213951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY CARE PHYSICIANS GREENVILLE PLLC

Provider Business Mailing Address
First Line	:	8090 MONTY STRATTON PKWY
Second Line	:
City	:	GREENVILLE
State	:	TX
Zip	:	75402-2005
Country	:	US
Telephone Number	:	903-494-0300
Fax Number	:	903-494-0299

Provider Business Practice Location Address
First Line	:	8090 MONTY STRATTON BLVD
Second Line	:
City	:	GREENVILLE
State	:	TX
Zip	:	75402
Country	:	US
Telephone Number	:	903-609-4125
Fax Number	:

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	DR. COLIN MARINO
Credential	:	MD
Telephone Number	:	903-372-4326

Provider Enumeration Date	:	01/15/2021
Last Update Date	:	06/08/2026

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