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Organization

CARDIOLOGY CARE CONSULTANTS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH A QUINTANA M.D. (PRESIDENT)
(915) 542-2352
Entity
Organization

Contact information

Practice address
4301 N MESA ST, STE 101, EL PASO, TX 79902-1118
(915) 542-2352
(915) 313-6692
Mailing address
7814 GATEWAY BLVD E, EL PASO, TX 79915-1815
(915) 542-2352
(915) 593-8559

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
Primary
207RI0011X
Interventional Cardiology Physician
207UN0901X
Nuclear Cardiology Physician
2085B0100X
Body Imaging Physician
TX
2085R0202X
Diagnostic Radiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00K58Q
BX/BS TEXAS
TX
05
083526602
TX
05
G0416
NM
01
Q2471
RR MCR GRP #
TX
Enumeration date
01/06/2006
Last updated
11/30/2011
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