Individual provider Active NPI

Carlos Enrique Quezada, M.D.

  • Obstetrics & Gynecology Physician
  • Ft Cavazos, TX
National Provider Identifier
1437115698
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
P0471 Issued in TX
Practice address
590 Medical Circle Drive
Women'S Health Clinic Crdamc
Ft Cavazos, TX 76554
Phone
(254) 553-3772
Fax
(254) 288-8610
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X P0471 TX Primary

Addresses

Primary practice location

590 Medical Circle Drive
Women'S Health Clinic Crdamc
Ft Cavazos, TX 76554

Mailing address

590 Medical Center Road
Women'S Health Clinic
Ft Cavazos, TX 76544
Phone (254) 553-1552

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carlos.quezada.1@16432.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110930000286 TX Practitioner - Obstetrics/Gynecology 1456523174 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star OB/GYN Associates, P.a. Obstetrics & Gynecology CurrentSince Oct 23, 2019 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Sep 27, 2019 Accepting new patients
Seton Family of Doctors Obstetrics & Gynecology CurrentSince Jan 4, 2026 Accepting new patients
Seton Family of Doctors CurrentSince Jan 4, 2026 Accepting new patients
Alamo Women'S Obstetrics & Gynecology, PLLC Obstetrics & Gynecology CurrentSince Apr 15, 2017 Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

3903 Wiseman Blvd
Ste 300
San Antonio, TX 78251
Phone (210) 426-3663

11212 State Highway 151
Ste 350
San Antonio, TX 78251
Phone (210) 281-5066

7950 Floyd Curl Dr
Ste 300
San Antonio, TX 78229
Phone (210) 615-6505

7950 Floyd Curl Dr
Ste 300400
San Antonio, TX 78229
Phone (210) 615-6505

7950 Floyd Curl Dr
Ste 109
San Antonio, TX 78229
Phone (210) 426-3663

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: carlos.quezada.1@16432.direct.athenahealth.com

Organizations & group practices 5

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1437115698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER ROAD",
            "address_2": "WOMEN'S HEALTH CLINIC",
            "city": "FT CAVAZOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-553-1552",
            "fax_number": "254-288-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CIRCLE DRIVE",
            "address_2": "WOMEN'S HEALTH CLINIC CRDAMC",
            "city": "FT CAVAZOS",
            "state": "TX",
            "postal_code": "76554",
            "telephone_number": "254-553-3772",
            "fax_number": "254-288-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "CARLOS",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P0471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlos.quezada.1@16432.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "802 Medical Dr Ste 101",
            "city": "Longview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756055169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ft Cavazos, TX

Sources for this page

Verify at the official NPI Registry.