Individual
FRED A QUENZER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 LIVE OAK LN, TAYLOR LAKE VILLAGE, TX 77586-4527
(832) 563-8054
(281) 326-4701
Mailing address
1002 LIVE OAK LN, TAYLOR LAKE VILLAGE, TX 77586-4527
(832) 563-8054
(281) 326-4701
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D2569
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132532601
—
TX
Enumeration date
10/17/2005
Last updated
10/24/2017
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