Individual
DR. IRVIN JUSTIN QUEZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12141 RICHMOND AVE FL 3, HOUSTON, TX 77082-2408
(877) 749-7428
Mailing address
1776 WOODSTEAD CT STE 208, THE WOODLANDS, TX 77380-1480
(877) 749-7428
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
T8919
TX
208600000X
Surgery Physician
R77019
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417447798
—
TX
Enumeration date
05/13/2018
Last updated
12/03/2025
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