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NPI Code Detail

MEDICARE: QUICC EXPRESS MOBILE PHLEBOTOMY

MEDICARE: QUICC EXPRESS MOBILE PHLEBOTOMY
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
1291U00000XClinical Medical LaboratoryTX

General Provider Information

NPI Number : 1881004471
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUICC EXPRESS MOBILE PHLEBOTOMY
Provider Business Mailing Address
First Line : 6724 KITTRIDGE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77028-3031
Country : US
Telephone Number : 713-836-2883
Fax Number :
Provider Business Practice Location Address
First Line : 6724 KITTRIDGE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77028
Country : US
Telephone Number : 713-836-2883
Fax Number :
Authorized Official
Title or Position : CEO
Name : DEBORA ANN HUDSON
Credential : PHLEBOTOMY
Telephone Number : 713-836-2883
Provider Enumeration Date : 05/05/2014
Last Update Date : 05/05/2014

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Directions to “QUICC EXPRESS MOBILE PHLEBOTOMY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.