Individual
NORMA M. QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6621 FANNIN ST, AB1195, HOUSTON, TX 77030-2303
(832) 824-1866
(832) 825-1032
Mailing address
PO BOX 1907, GREENVILLE, TX 75403-1907
(832) 824-1866
(832) 825-1032
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
N6590
TX
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
N6590
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0026864
INSTITUTIONAL PERMIT
—
Enumeration date
06/11/2007
Last updated
04/20/2011
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