Lawrence Quan M.D.P.a

Organization Active NPI Family Medicine Physician · Trinity, TX

NPI 1679877161 · NPPES record last updated Jun 2, 2011

Key facts

NPI
1679877161
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
F4399 (TX)
Legal business name
LAWRENCE QUAN M.D.P.A
Practice address
315 Prospect Dr
P.O. 672
Trinity, TX 75862-6202
Phone
(936) 594-3595
Fax
(936) 594-0491
NPI assigned
Dec 27, 2010
Organization subpart
No

Authorized official

Name
Lawrence Quan, M.D.
Title
Owner
Phone
(936) 594-3639

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X F4399 TX Yes

Addresses

Primary practice location

315 Prospect Dr
P.O. 672
Trinity, TX 75862-6202

Mailing address

PO Box 672
Trinity, TX 75862-0672
Phone (936) 594-3595

Other identifiers

IdentifierTypeStateIssuer
F4399OtherTXLICENCE #

Other providers in Trinity, TX

All providers in Trinity, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.