Individual
CAROLYN VIRGINIA QUILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2565 BAY AREA BLVD, HOUSTON, TX 77058-1521
(281) 480-7272
(281) 480-7373
Mailing address
2565 BAY AREA BLVD, HOUSTON, TX 77058-1521
(281) 480-7272
(281) 480-7373
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02668
TX
Other
Enumeration date
09/16/2006
Last updated
08/26/2014
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