MEDICARE: JOHN M QUINN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	J8350	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8G4156	OTHER	TX	BC/BS PROVIDER NUMBER
2	1497725204	OTHER	TX	TRICARE SOUTH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497725204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN M QUINN MD

Provider Business Mailing Address
First Line	:	PO BOX 200993
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77216-0993
Country	:	US
Telephone Number	:	281-784-1111
Fax Number	:	281-784-1555

Provider Business Practice Location Address
First Line	:	22999 HIGHWAY 59 N
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77339-4438
Country	:	US
Telephone Number	:	281-348-1301
Fax Number	:	281-348-1328

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	11/30/2010

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Directions to “ JOHN M QUINN MD” Practice Location

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