Individual
DR. BRENDON MICHAEL QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17218 PRESTON RD STE 2000, DALLAS, TX 75252-4018
(877) 866-7123
Mailing address
PO BOX 742712, ATLANTA, GA 30374-2712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
P7545
TX
208600000X
Surgery Physician
Primary
P7545
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334854202
—
TX
Enumeration date
04/20/2007
Last updated
04/24/2024
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