Individual
DR. JONATHAN SCOTT QUINBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17051 DALLAS PKWY STE 400, ADDISON, TX 75001-7108
(469) 243-9390
Mailing address
2 LONDON CT, HEATH, TX 75032-6865
(469) 243-9390
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
M1300
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187180802
—
TX
01
—
8BR112
BCBS
TX
01
—
M1300
MEDICAL LICENSE
TX
Enumeration date
07/14/2005
Last updated
05/18/2020
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