MEDICARE: MRS. GINA GABRIELLA QUON MPAS, PA-C

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	363A00000X	Physician Assistant	PA06603	TX

General Provider Information

NPI Number	:	1235435116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GINA GABRIELLA QUON MPAS, PA-C

Provider Business Mailing Address
First Line	:	5425 W SPRING CREEK PKWY STE 175
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-4345
Country	:	US
Telephone Number	:	469-699-8983
Fax Number	:	833-972-8242

Provider Business Practice Location Address
First Line	:	5425 W SPRING CREEK PKWY STE 175
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-4345
Country	:	US
Telephone Number	:	469-699-8983
Fax Number	:

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

Provider Enumeration Date	:	02/09/2011
Last Update Date	:	02/03/2026

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