Individual
RUY MIRELES QUINTANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1910 S 1ST ST, STE 200, MCALLEN, TX 78503-1255
(956) 687-7885
(956) 687-3101
Mailing address
1910 S 1ST ST, STE 200, MCALLEN, TX 78503-1255
(956) 687-7885
(956) 687-3101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H1627
TX
2084N0400X
Neurology Physician
H1627
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032736301
—
TX
Enumeration date
06/23/2005
Last updated
07/15/2008
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