Provider Demographics
NPI:1306302062
Name:QUICKSILVER BILLING
Entity type:Organization
Organization Name:QUICKSILVER BILLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:BYRON
Authorized Official - Last Name:NOEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-977-2381
Mailing Address - Street 1:PO BOX 2375
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77410-2375
Mailing Address - Country:US
Mailing Address - Phone:832-977-2381
Mailing Address - Fax:
Practice Address - Street 1:14215 MARIN DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4962
Practice Address - Country:US
Practice Address - Phone:832-977-2381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-18
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX20371994OtherDL