Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101249078 | VA |
N | 111NI0900X | Internist | 0101249078 | VA |
Y | 207RG0100X | Gastroenterologist | 0101249078 | VA |
NPI | 1033347695 |
---|---|
Provider Name | Dr. John Quiles |
First Address | Dallas, TX 75235-0629 |
Second Address | San Antonio, TX 78215-1644 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2009 |
Last Update Date | 30/06/2021 |