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General NPI Number Information
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NPI Number | 1205321619
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Entity Type | Individual
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Provider Name | MICHAEL RAY QUINTON MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 425 UNIVERSITY BLVD STE 500
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City | ROUND ROCK
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State | TX
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Zip | 78665-1047
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Country | US
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Telephone | 512-509-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 425 UNIVERSITY BLVD STE 500
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City | ROUND ROCK
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State | TX
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Zip | 78665-1047
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Country | US
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Telephone | 512-509-0200
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 33967
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207ZC0008X
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Taxonomy Name | Clinical Informatics (Pathology) Physician
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License Number | 749900
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License Number State | TX
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