| Threshold Medical | |
|
2621 Promenade Pkwy Ste 101 Midlothian VA 23113-4905 | |
| (804) 897-3746 | |
| Not Available |
| Full Name | Threshold Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 2621 Promenade Pkwy Ste 101, Midlothian, Virginia |
| Authorized Official Name and Position | Robert L. Quarles (OWNER) |
| Authorized Official Contact | 8048973747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Threshold Medical 2621 Promenade Pkwy Ste 101 Midlothian VA 23113-4905 Ph: (804) 897-3746 | Threshold Medical 2621 Promenade Pkwy Ste 101 Midlothian VA 23113-4905 Ph: (804) 897-3746 |
| NPI Number | 1033720396 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Medicare PECOS PAC ID | 2163848508 |
|---|---|
| Medicare Enrollment ID | O20200817002206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033720396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Robert L Quarles |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457386237 PECOS PAC ID: 2567648215 Enrollment ID: I20110516000249 |
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