Individual
DR. GUILLERMO A QUICENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD., DALLAS, TX 75390-7201
(214) 645-2800
(214) 645-2808
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-2800
(214) 645-2808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L2571
TX
207RR0500X
Rheumatology Physician
Primary
L2571
TX
Other
Enumeration date
02/28/2006
Last updated
10/17/2012
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