Health Texas Provider Network

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

HEALTH TEXAS PROVIDER NETWORK

Doing business as

Pca-Quinlan

Practice address

734 E Quinlan Pkwy
Quinlan, TX 75474-8640

Phone

(469) 800-3640

Fax

(469) 800-3650

NPI assigned

Apr 13, 2007

Last updated

Nov 23, 2016By 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

Sheryl L Morris

Title

Operations Manager

Phone

(469) 800-3524

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• PCA-QUINLAN Doing business as

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1992920375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844128",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844128",
            "telephone_number": "469-800-3524",
            "fax_number": "469-800-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 E QUINLAN PKWY",
            "city": "QUINLAN",
            "state": "TX",
            "postal_code": "754748640",
            "telephone_number": "469-800-3640",
            "fax_number": "469-800-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH TEXAS PROVIDER NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "469-800-3524"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017949101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137940601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP0098",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "005EE",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137940610",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCA-QUINLAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Grow, LM
• Mavis O Hampton, RN, FNP
• Leonard Bruce Hargrave, L.M.F.T.
• Kassidy Brooke Harrelson
• Amy Dionne Harris, D.C.
• Hunt County Medical Properties
• Hunt Memorial Hospital District (Hunt Regional Family Medicine Westlake)
• Hunt Regional Medical Partners
• Individual Care of Texas, Inc
• Troy M Kelly, RPH

• Rural Health Clinic/Center in Quinlan, TX
• Providers in Quinlan, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.