Organization
FREDERICK E. QUIRANTE, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY GLYNN (OFFICE MANAGER)
(409) 729-4225
Entity
Organization
Contact information
Practice address
1323 S 27TH ST STE 200, NEDERLAND, TX 77627-6257
(409) 729-4225
(409) 729-7533
Mailing address
1323 S 27TH ST STE 200, NEDERLAND, TX 77627-6257
(409) 729-4225
(409) 729-7533
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018601701
—
TX
05
—
184154601
—
TX
Enumeration date
01/15/2008
Last updated
08/11/2022
Update your record
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