Individual
DR. MARTHA JEANETTE QUIROGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17720 CORPORATE WOODS DR, SAN ANTONIO, TX 78259-3500
(210) 491-9400
(210) 491-3550
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(210) 491-9400
(210) 491-3550
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
Q7262
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358863401
—
TX
Enumeration date
06/18/2012
Last updated
07/21/2022
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