Individual
DR. KAREN QUINTAVELL RADCLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 ENTERPRISE AVENUE, SUITE 800, LEAGUE CITY, TX 77573
(832) 848-0444
Mailing address
201 ENTERPRISE AVENUE, SUITE 800, LEAGUE CITY, TX 77573
(832) 848-0444
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
P1391
TX
207ZP0101X
Anatomic Pathology Physician
BP1-0026309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3879138231
MYUTMB 3879138231-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
09/04/2014
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