Provider Demographics
NPI:1992733919
Name:QUALITY CARE MEDICAL SERVICES LTD
Entity type:Organization
Organization Name:QUALITY CARE MEDICAL SERVICES LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-791-8860
Mailing Address - Street 1:PO BOX 700428
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78270-0428
Mailing Address - Country:US
Mailing Address - Phone:956-791-8860
Mailing Address - Fax:956-791-6870
Practice Address - Street 1:1520 E. SAN PEDRO STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5354
Practice Address - Country:US
Practice Address - Phone:956-791-8860
Practice Address - Fax:956-791-6870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00481VMedicare ID - Type UnspecifiedMEDICARE GROUP #