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Organization

JESUS QUINTANILLA DC, PC

Active
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Organization

JESUS QUINTANILLA DC, PC

Active
Other names
Coastal Spine & Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESUS QUINTANILLA DC (OWNER)
(361) 882-7502
Entity
Organization

Contact information

Practice address
2727 MORGAN AVE STE 300, CORPUS CHRISTI, TX 78405-1832
(361) 882-7502
Mailing address
2727 MORGAN AVE STE 300, CORPUS CHRISTI, TX 78405-1832

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
8851
TX

Other

Enumeration date
04/10/2008
Last updated
04/10/2008
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