MEDICARE: QUINESHA GARRETT

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1255225785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUINESHA GARRETT

Provider Business Mailing Address
First Line	:	1326 CHRISTOPHER AVE
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-7376
Country	:	US
Telephone Number	:	423-314-6030
Fax Number	:

Provider Business Practice Location Address
First Line	:	1326 CHRISTOPHER AVE
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-7376
Country	:	US
Telephone Number	:	423-314-6030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2025
Last Update Date	:	06/16/2026

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