Active NPI
Jessica C Quan, M.D.
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1407048010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P8173
- Practice address
- 5757 Woodway Dr
Suite 200
Houston, TX 77057-1514 - Phone
- (713) 482-4830
- NPI assigned
- Aug 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P8173 | TX | Primary |
Addresses
Primary practice location
5757 Woodway Dr
Suite 200
Houston, TX 77057-1514
Mailing address
PO Box 841969
Dallas, TX 75284-1969
Other names 1
- Cang Quan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TCH Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
| TCH Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- jquan156538@prddirect.texaschildrens.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1407048010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 841969",
"city": "DALLAS",
"state": "TX",
"postal_code": "752841969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 WOODWAY DR",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770571514",
"telephone_number": "713-482-4830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAN",
"first_name": "JESSICA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P8173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANG",
"last_name": "QUAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.