Individual
DR. BENJAMIN RICARDO QUIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 MEDICAL AVE, STE 104, PLANO, TX 75075-4739
(972) 867-5100
(972) 867-2580
Mailing address
1200 MEDICAL AVE, STE 104, PLANO, TX 75075-4739
(972) 867-5100
(972) 867-2580
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G7944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099797501
—
TX
Enumeration date
07/11/2006
Last updated
08/01/2012
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