Provider Demographics
NPI:1962156927
Name:QUANTUM HEALTH NETWORK, LLC
Entity type:Organization
Organization Name:QUANTUM HEALTH NETWORK, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:BOI QUYNH
Authorized Official - Middle Name:
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-277-0795
Mailing Address - Street 1:10680 JONES RD STE 500
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5595
Mailing Address - Country:US
Mailing Address - Phone:832-869-4149
Mailing Address - Fax:832-995-0174
Practice Address - Street 1:10680 JONES RD STE 500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5595
Practice Address - Country:US
Practice Address - Phone:832-869-4149
Practice Address - Fax:832-995-0174
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUANTUM HEALTH NETWORK, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-09
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy