Provider Demographics
NPI:1699751719
Name:TEXAS HEALTH QUEST, LLC
Entity type:Organization
Organization Name:TEXAS HEALTH QUEST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:210-349-0096
Mailing Address - Street 1:5253 PRUE RD STE 230
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1759
Mailing Address - Country:US
Mailing Address - Phone:210-349-0096
Mailing Address - Fax:210-349-0097
Practice Address - Street 1:5253 PRUE RD STE 230
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1759
Practice Address - Country:US
Practice Address - Phone:210-349-0096
Practice Address - Fax:210-349-0097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-20
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011950251E00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1627044-01Medicaid
TX162704401Medicaid
TX017808OtherDADS LICENSE