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NPI 1184243552

NPI 1184243552 : QUINTEN ALEXANDER FLETCHER MD : CORPUS CHRISTI, TX

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General NPI Number Information
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    NPI Number           |    1184243552
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    Entity Type          |    Individual 
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    Provider Name        |    QUINTEN ALEXANDER FLETCHER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/15/2020
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    Last Update Date     |    01/06/2026
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Provider Practice Location Address
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    Address Line         |    1812 S ALAMEDA ST 
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    City                 |    CORPUS CHRISTI
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    State                |    TX
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    Zip                  |    78404-2933
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    Country              |    US
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    Telephone            |    361-887-7000
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    Fax                  |    361-561-3185
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Provider Business Mailing Address
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    Address Line         |    200 LOTHROP ST STE 700 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15213-2582
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    MD488097
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    W0575
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    License Number State |    TX
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