Basic Information
| Provider Information | |||||||||
| NPI: | 1437481421 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BAY AREA QUICK CARE PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 18450 | ||||||||
| Address2: | |||||||||
| City: | CORPUS CHRISTI | ||||||||
| State: | TX | ||||||||
| PostalCode: | 784808450 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3619498989 | ||||||||
| FaxNumber: | 3619491515 | ||||||||
| Practice Location | |||||||||
| Address1: | 9929 S PADRE ISLAND DR | ||||||||
| Address2: | SUITE 109 | ||||||||
| City: | CORPUS CHRISTI | ||||||||
| State: | TX | ||||||||
| PostalCode: | 784185164 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3619372121 | ||||||||
| FaxNumber: | 3619372123 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2010 | ||||||||
| LastUpdateDate: | 07/29/2020 | ||||||||
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| AuthorizedOfficialLastName: | MALOWITZ | ||||||||
| AuthorizedOfficialFirstName: | CYNTHIA | ||||||||
| AuthorizedOfficialMiddleName: | KAY | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3619372121 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | FNP-C | ||||||||
| NPICertificationDate: | 07/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 640742 | TX | N | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 261QU0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.