Lawrence Quan M.d.p.a | |
315 Prospect Dr P.o. 672 Trinity TX 75862-6202 | |
(936) 594-3595 | |
(936) 594-0491 |
Full Name | Lawrence Quan M.d.p.a |
---|---|
Speciality | Family Medicine |
Location | 315 Prospect Dr, Trinity, Texas |
Authorized Official Name and Position | Lawrence Quan (OWNER) |
Authorized Official Contact | 9365943639 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lawrence Quan M.d.p.a Po Box 672 Trinity TX 75862-0672 Ph: (936) 594-3595 | Lawrence Quan M.d.p.a 315 Prospect Dr P.o. 672 Trinity TX 75862-6202 Ph: (936) 594-3595 |
NPI Number | 1679877161 |
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Provider Enumeration Date | 12/27/2010 |
Last Update Date | 06/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679877161 | NPI | - | NPPES |
F4399 | Other | TX | LICENCE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F4399 (Texas) | Primary |
Mid Coast Medical Center - Trinity Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Prospect Dr, Trinity, TX 75862 Phone: 936-744-1400 Fax: 817-231-0367 | |