Provider Demographics
NPI:1174625685
Name:A-QUALITY CLINICAL STAFFINGS INC.
Entity type:Organization
Organization Name:A-QUALITY CLINICAL STAFFINGS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MERRIDINE
Authorized Official - Middle Name:VELASQUEZ
Authorized Official - Last Name:MAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-665-8200
Mailing Address - Street 1:5313 BISSONNET ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3911
Mailing Address - Country:US
Mailing Address - Phone:713-665-8200
Mailing Address - Fax:713-665-6176
Practice Address - Street 1:5313 BISSONNET ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3911
Practice Address - Country:US
Practice Address - Phone:713-665-8200
Practice Address - Fax:713-665-6176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008310251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679329Medicare ID - Type UnspecifiedPROVIDER NUMBER