Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | E5210 | TX |
NPI | 1063400661 |
---|---|
Provider Name | Dr. Amadeo S. Quintans |
First Address | Irving, TX 75038-2503 |
Second Address | Plano, TX 75093-5337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2005 |
Last Update Date | 16/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B32271 | (02) |