Rodolfo A Quintana Psyd Pa | |
1801 S 5th St Ste 122 Mcallen TX 78503-2919 | |
(956) 630-9454 | |
(956) 630-9447 |
Full Name | Rodolfo A Quintana Psyd Pa |
---|---|
Speciality | Psychologist - Clinical |
Location | 1801 S 5th St Ste 122, Mcallen, Texas |
Authorized Official Name and Position | Rodolfo A Quintana (OWNER) |
Authorized Official Contact | 9566309454 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rodolfo A Quintana Psyd Pa Po Box 5622 Mcallen TX 78502-5622 Ph: (956) 630-9454 | Rodolfo A Quintana Psyd Pa 1801 S 5th St Ste 122 Mcallen TX 78503-2919 Ph: (956) 630-9454 |
NPI Number | 1205067964 |
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Provider Enumeration Date | 07/29/2009 |
Last Update Date | 09/30/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205067964 | NPI | - | NPPES |
2053366201 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 32103 (Texas) | Primary |
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