Quality Care Medical Center of Kingsville PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E8082 Issued in TX

Legal business name

QUALITY CARE MEDICAL CENTER OF KINGSVILLE PA

Practice address

510 E Caesar Ave
Kingsville, TX 78363

Phone

(361) 502-8588

Fax

(361) 592-2357

NPI assigned

Apr 24, 2014

Last updated

Apr 24, 2014By 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

Mrs. Jerin Bryant, P.A.-C.NPI 1881881274

Title

Co-Owner

Phone

(361) 592-8588

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerin D Bryant, PA

  • Physician Assistant
  • Kingsville, TX
  • NPI 1881881274
  Medicare reassignment Care Compare group Authorized official
• Claudia Culp Cantu, FNP-C

  • Family Nurse Practitioner
  • Kingsville, TX
  • NPI 1861986903
  Medicare reassignment Care Compare group NPD
• Octavio J Rodriguez II, M.D.

  • Family Medicine Physician
  • Kingsville, TX
  • NPI 1619074929
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1700206133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E CAESAR AVE.",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "78363",
            "telephone_number": "361-502-8588",
            "fax_number": "361-592-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E CAESAR AVE",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "78363",
            "telephone_number": "361-502-8588",
            "fax_number": "361-592-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE MEDICAL CENTER OF KINGSVILLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "JERIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "361-592-8588",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.A.-C."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E8082",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bala Niklesh Reddy Pothireddy
• Premier Medical Supply
• Prosperity Life Style Co LLC
• Frank Edwin Prukop, O.D.
• Eduardo Pulido
• Quality Medical Supply, Inc
• R Vela & B Vela PLLC (Vela Dental Kingsville)
• Rabagos Health Care PLLC (Statcare Minor Emergency Clinic)
• Katherine C Rabagos, FNP-C
• Cristian Radaneata, OD

• Internal Medicine Physician in Kingsville, TX
• Providers in Kingsville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.