Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | MD045240L | PA |
N | 207KA0200X | Allergist | MD045240L | PA |
N | 207R00000X | Internist | MD045240L | PA |
N | 111NI0900X | Internist | MD045240L | PA |
N | 207RA0201X | Internist - Allergy & Immunology | MD045240L | PA |
Y | 207RA0201X | Internist - Allergy & Immunology | N4010 | TX |
NPI | 1851325237 |
---|---|
Provider Name | Dr. James M Quinn |
First Address | Fort Sam Houston, TX 78234-4504 |
Second Address | Fort Sam Houston, TX 78234-4504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 18/03/2021 |