NPIMap

Organization Active NPI

Texas Quick Care, LLC

  • Family Medicine Physician
  • Timpson, TX
National Provider Identifier
1730570581
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TEXAS QUICK CARE, LLC
Practice address
507 Jacob St
Timpson, TX 75975-5255
Phone
(914) 539-7101
Fax
(936) 254-3339
NPI assigned
Feb 16, 2015
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Sadiya Abbas, FNP
Title
Executive Director
Phone
(914) 539-7101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

507 Jacob St
Timpson, TX 75975-5255

Mailing address

PO Box 869
Timpson, TX 75975-0869
Phone (936) 254-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160219001463 TX Part B Supplier - Clinic/Group Practice 0749585396 Receives reassigned benefits from 14 practitioners
Practice locations: Center, TX; Timpson, TX; San Augustine, TX; Pineland, TX; Nacogdoches, TX; Joaquin, TX; Etoile, TX

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Texas Quick Care LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

233 Hurst St
Center, TX 75935
Phone (936) 591-8171

854 Hurst St
Ste 108
Center, TX 75935
Phone (936) 554-9552

12815 US Highway 84 E
Joaquin, TX 75954
Phone (936) 220-1442

606 W Columbia St
San Augustine, TX 75972
Phone (936) 275-2940

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1730570581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 869",
            "city": "TIMPSON",
            "state": "TX",
            "postal_code": "759750869",
            "telephone_number": "936-254-3338",
            "fax_number": "936-254-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 JACOB ST",
            "city": "TIMPSON",
            "state": "TX",
            "postal_code": "759755255",
            "telephone_number": "914-539-7101",
            "fax_number": "936-254-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS QUICK CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "ABBAS",
        "authorized_official_first_name": "SADIYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "914-539-7101",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timpson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.