Organization
RODOLFO A QUINTANA PSYD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODOLFO A QUINTANA PSY.D. (OWNER)
(956) 630-9454
Entity
Organization
Contact information
Practice address
1801 S 5TH ST STE 122, MCALLEN, TX 78503-2919
(956) 630-9454
(956) 630-9447
Mailing address
PO BOX 5622, MCALLEN, TX 78502-5622
(956) 630-9454
(956) 630-9447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2053366201
—
TX
Enumeration date
07/29/2009
Last updated
09/30/2010
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