Individual
DAVID QUINTANA BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 BURLESON RD, CRANE, TX 79731-4826
(432) 528-6158
Mailing address
210 BURLESON RD, CRANE, TX 79731-4826
(432) 528-6158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
706509
TX
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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