Quadmed Medical Clinics of Texas, P.a. D/b/a Quadmed Medical Grou
Kohl's Dallas, Tx · Clinic/Center (Primary Care)

Address: 17655 Waterview Parkway, Dallas, TX 75252
Phone: 8882258354

Quadmed Medical Clinics of Texas, P.a. D/b/a Quadmed Medical Grou (NPI# 1447759212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1447759212
Entity Type Organization
Other Organization Name KOHL'S DALLAS, TX
Practice Address 17655 Waterview Parkway
TX 75252
Practice Telephone 8882258354
Practice Fax Number 2623725607
Mailing Address N64w23110 Main Street
WI 53089
Mailing Telephone 4145668400
Mailing Fax Number 4145668400
Authorized Official Name Mrs. Susan Buettner (PRESIDENT, QUADMED)
Authorized Official Telephone 4145668350
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name QUAD/MED, LLC
Enumeration Date 2018-02-07
Last Update Date 2018-02-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QP2300X Clinic/Center · Primary Care Ambulatory Health Care Facilities AP122608 TX

Other Provider/Organization Names

Other Name Type Code
Kohl's Dallas, TX Other Name - Individual/Organization

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Office Location

Street Address 17655 WATERVIEW PARKWAY
State TX
Zip Code 75252

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457914681 Lashaun Nicole Mwangi Counselor 17740 Preston Rd., Suite 100-b, Dallas, TX 75252 2019-04-14
1699244921 Naomi Silva Counselor 18208 Preston Rd. Ste D9-466, Dallas, TX 75252 2018-11-15
1134601560 Douglas Wayne Barnes Counselor 17762 Preston Rd Suite 108, Dallas, TX 75252 2018-09-01
1528548260 Rhejes Healthcare Services LLC In Home Supportive Care 19019 Preston Rd Apt 710, Dallas, TX 75252 2018-08-21
1114436862 Steven Wade Martin Chiropractor 17330 Preston Rd., Suite 150a, Dallas, TX 75252 2017-09-26
1053766568 Helix Health LLC Clinical Medical Laboratory 17218 Preston Road, Suite #4200, Dallas, TX 75252 2016-05-03
1144619511 Bay Crest LLC Home Health 18208 Preston Rd Ste 151, Dallas, TX 75252 2015-01-22
1255720579 Damion P Davis Counselor 17210 Campbell Rd, #200, Dallas, TX 75252 2015-01-12
1891109435 Pediatric Home Healthcare, LLC Home Health 17950 Preston Rd # 370, Dallas, TX 75252 2014-06-11
1144579889 Sandrine Yongbang Specialist/Technologist 19251 Preston Rd Apt1921, Dallas, TX 75252 2012-09-07
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Zip Code 75252

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.