Quality Provider Care Service

NPI 1649691965 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1649691965
Enumeration Date 01/05/2014
Last Updated 01/05/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JERMAINE FITZGERALD JERMAINE
Position OWNER
Phone (713) 998-6162
Fax
Practice Location
19830 BRAECOVE CIR
RICHMOND TX, 77407-4072, US
Phone (713) 998-6162
Fax
Business Location
19830 BRAECOVE CIR
RICHMOND TX, 77407-4072, US
Phone (713) 998-6162
Fax
Toxanomy
Taxonomy Code 103K00000X
License State Texas
License Number 103
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According to our database, Quality Provider Care Service NPI is 1649691965, taxonomy code is 103K00000X and license number is 103, license state is located at Texas. Quality Provider Care Service physically located at 19830 Braecove Cir, Richmond TX, 77407-4072. NPI Number 1033115704 has the healthcare provider type.

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1649691965 NPI number is provided on an as is basis without warranty of any kind. 1649691965 is maintained by the National Plan & Provider Enumeration System. The contents of Quality Provider Care Service are for informational purposes only.