Quality Care Medical Group, P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

QUALITY CARE MEDICAL GROUP, P.A.

Practice address

4115 Medical Dr
Suite 500
San Antonio, TX 78229-5657

Phone

(210) 615-1170

Fax

(210) 614-6996

NPI assigned

Feb 22, 2008

Last updated

Feb 22, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joanne Caldera De la Fuente

Title

Authorized Agent

Phone

(210) 615-1170

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1386813426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 MEDICAL DR",
            "address_2": "SUITE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295657",
            "telephone_number": "210-615-1170",
            "fax_number": "210-614-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 MEDICAL DR",
            "address_2": "SUITE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295657",
            "telephone_number": "210-615-1170",
            "fax_number": "210-614-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE MEDICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "DE LA FUENTE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "CALDERA",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "210-615-1170"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "0063MG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quad Health Services (Advanced Toxicology Services)
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• Quality Care Clinic LLC (Quality Urgent Care)
• Quality Care LLC (Quality Care)
• Quality Care RX, LLC
• Quality Durable Medical Equipment Limited Liability Company
• Quality Forensic Toxicology LLC
• Quality Healthcare Resources LLC (Palliative Community Resources)
• Quality Managed Care, Inc. (Gentiva Respiratory Services & HME)

• Clinical Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.