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Individual

QUINTEN C. BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2121 PEASE ST STE 101, HARLINGEN, TX 78550-8321
(956) 425-8845
(956) 364-6734
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
2003-00747
NC
2085R0001X
Radiation Oncology Physician
Primary
V1032
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0554569001
CIGNA PROVIDER NUMBER
NC
01
1190946
GATEWAY HEALTH
FL
01
134JJ
BCBS OF NC PROVIDER #
NC
01
36-00363
UTD. HLTHCR PROVIDER #
NC
01
7685722
AETNA PROVIDER NUMBER
NC
05
89134JJ
NC
01
C8226
MEDCOST PROVIDER #
NC
01
P00037555
RAILROAD MCARE PROV. #
NC
Enumeration date
09/16/2005
Last updated
11/12/2025
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