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Individual

DR. DANIEL D. QUIGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3370 S TEXAS AVE, SUITE B, BRYAN, TX 77802-3127
(979) 595-1700
(979) 595-1740
Mailing address
1500 UNIVERSITY DR E, SUITE 100, COLLEGE STATION, TX 77840-2600
(979) 846-1100
(979) 260-9390

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K3933
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000951607
TX
05
000951608
TX
05
154467801
TX
05
154467803
TX
01
1649265646
NPI CLINIC B
TX
01
1821185299
NPI AGENCY
TX
05
185649401
TX
01
741715140
TAX ID
TX
Enumeration date
09/26/2005
Last updated
07/24/2012
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