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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