Individual
MARK V. QUERALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3724 EXECUTIVE CENTER DR, SUITE G-10, AUSTIN, TX 78731-1646
(512) 345-5925
(512) 343-7113
Mailing address
3724 EXECUTIVE CENTER DR, SUITE G-10, AUSTIN, TX 78731-1646
(512) 345-5925
(512) 343-7113
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J4456
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
J4456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036787202
—
TX
05
—
036787203
—
TX
01
—
8CV460
BCBS
TX
Enumeration date
08/10/2006
Last updated
01/23/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us