Organization
RICARDO QUEZADA REAL MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO QUEZADA MD (PHYSICIAN)
(918) 636-4835
Entity
Organization
Contact information
Practice address
951 YORK DR STE 103, DESOTO, TX 75115-2052
(972) 866-4311
(972) 866-4312
Mailing address
9038 DILLON TRL, IRVING, TX 75063-8069
(918) 636-4835
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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