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NPI Code Detail

MEDICARE: QV URGENT CARE TX PLLC

MEDICARE: QV URGENT CARE TX 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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1568098887
Entity Type Code : Organization
Provider Name (Legal Business Name) : QV URGENT CARE TX PLLC
Provider Business Mailing Address
First Line : PO BOX 1022
Second Line :
City : WAYNESBORO
State : TN
Zip : 38485-1022
Country : US
Telephone Number : 931-722-2369
Fax Number :
Provider Business Practice Location Address
First Line : 1600 US HIGHWAY 79 S
Second Line :
City : HENDERSON
State : TX
Zip : 75654-4508
Country : US
Telephone Number : 903-717-3260
Fax Number : 903-204-4210
Authorized Official
Title or Position : PRESIDENT
Name : RICHARD REAMS POWERS JR.
Credential : MD
Telephone Number : 931-540-4210
Provider Enumeration Date : 03/18/2020
Last Update Date : 06/29/2020

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Directions to “QV URGENT CARE TX PLLC ” Practice Location

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