NPIMap

Organization Active NPI

Qcmedical Clinic,LLC

  • General Practice Physician
  • Stafford, TX
National Provider Identifier
1942603238
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
QCMEDICAL CLINIC,LLC
Practice address
3219 S Main St
Stafford, TX 77477-5537
Phone
(713) 518-1745
NPI assigned
Oct 1, 2014
Last updated
Oct 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Mrs. Brenda RodriguezNPI 1457649782
Title
Director
Phone
(713) 443-5978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

3219 S Main St
Stafford, TX 77477-5537

Mailing address

3219 South Main Street
Stafford, TX 77477
Phone (713) 518-1745

National Provider Directory

National Provider Directory

Locations

3219 S Main St
Stafford, TX 77477
Phone (713) 234-7010

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1942603238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 SOUTH MAIN STREET",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "713-518-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 S MAIN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775537",
            "telephone_number": "713-518-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QCMEDICAL CLINIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-443-5978",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.