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Individual

MIGUEL V MIRO-QUESADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
925 GESSNER RD, SUITE 600, HOUSTON, TX 77024-2545
(713) 827-9525
(713) 468-3561
Mailing address
902 FROSTWOOD DR, SUITE 315, HOUSTON, TX 77024-2420
(713) 800-0656
(713) 827-1380

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G7282
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10014649
AMERICAID
01
10014650
AMERICAID
05
136716102
TX
05
136716103
TX
01
2224930
BLUE LINK
01
25498
AMERIGROUP
01
4087245
AETNA
01
830005872
RAILROAD MEDICARE
TX
01
85272N
BLUECHOICE
Enumeration date
03/29/2006
Last updated
02/22/2011
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