Organization
FUNCTIONAL NEURORESTORATION INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLON P QUINONES MD (MEMBER)
(210) 301-0125
Entity
Organization
Contact information
Practice address
8401 DATAPOINT DR STE 900, SAN ANTONIO, TX 78229-5385
(210) 301-0125
Mailing address
6110 DALROCK RD, ROWLETT, TX 75088-4402
(972) 526-5444
(972) 402-5888
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
M7159
TX
207R00000X
Internal Medicine Physician
Primary
M7159
TX
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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