Qlmprofile LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

H5072 Issued in TX

Legal business name

QLMPROFILE LLC

Practice address

14405 Walters Rd
Houston, TX 77014-1337

Phone

(832) 401-9407

Fax

(832) 965-5111

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Novarro C Stafford, MD

Title

Medical Director

Phone

(832) 298-6380

Specialties & licenses 1

Addresses

Other names 1

• Quality Life Medical Other name

Locations

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1760868947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14405 WALTERS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141337",
            "telephone_number": "832-401-9407",
            "fax_number": "832-965-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 WALTERS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141337",
            "telephone_number": "832-401-9407",
            "fax_number": "832-965-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QLMPROFILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "NOVARRO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "832-298-6380",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "H5072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Life Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Qingguo Tao, M.D., P.a.
• Cuie Qiu, MD
• Lianqun Qiu, MD
• QKT Enterprises PLLC (Stella Dental Care)
• QLB Consultants
• QMG Helping Homes
• Qoros Clear Lake Surgery Center, LLC
• QPMC PA
• QRX Compound and Infusion Pharmacy (ionixRx)
• QT Healthcare Group PA

• General Practice Physician in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.