MEDICARE: OSCAR QUINTANA, M.D., P.A.

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	208D00000X	General Practice Physician	K5672	TX

General Provider Information

NPI Number	:	1477647279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSCAR QUINTANA, M.D., P.A.

Provider Business Mailing Address
First Line	:	4000 FULTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77009-4729
Country	:	US
Telephone Number	:	713-694-4400
Fax Number	:	713-694-1432

Provider Business Practice Location Address
First Line	:	4000 FULTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77009-4729
Country	:	US
Telephone Number	:	713-694-4400
Fax Number	:	713-694-1432

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. OSCAR F QUINTANA
Credential	:	MD
Telephone Number	:	713-694-4400

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	08/22/2020

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