Individual
DENISE MARILU QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3600 N GARFIELD ST, MIDLAND, TX 79705-6329
(432) 620-1120
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15138
TX
Other
Enumeration date
08/06/2020
Last updated
03/16/2022
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