Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 25MA09049100 | NJ |
Y | 207T00000X | Neurosurgeon | R2945 | TX |
NPI | 1053587865 |
---|---|
Provider Name | Dr. John Christopher Quinn |
First Address | Houston, TX 77030-1541 |
Second Address | Houston, TX 77030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2008 |
Last Update Date | 03/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
375185101 | (05) | TX |
590256YNBT | MEDICARE (01) | TX |
8GZ926 | BCBS (01) | TX |
P01899812 | MEDICARE RAILROAD (01) | TX |