Individual
DR. IVAN MANUEL DEQUESADA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0300
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0937
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
004915
GA
2085R0202X
Diagnostic Radiology Physician
Primary
Q7548
TX
Other
Enumeration date
05/04/2010
Last updated
07/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us