Organization
WALTER Y. QUIJANO, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER Y. QUIJANO PH.D. (PRESIDENT)
(936) 539-2226
Entity
Organization
Contact information
Practice address
901 N THOMPSON ST, CONROE, TX 77301-2554
(936) 539-2226
(936) 788-5897
Mailing address
901 N THOMPSON ST, CONROE, TX 77301-2554
(936) 539-2226
(936) 788-5897
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21679
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N55T
BCBS
TX
Enumeration date
09/18/2007
Last updated
09/18/2007
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