Individual
JENNIFER LEIGH MCQUADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P7004
TX
207RX0202X
Medical Oncology Physician
Primary
P7004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324498001 (MDACC)
—
TX
01
—
8DX736
BCBS (MDACC)
TX
Enumeration date
04/28/2009
Last updated
06/20/2018
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