MEDICARE: INGRID QUIROZ

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	183500000X	Pharmacist	69805	TX

General Provider Information

NPI Number	:	1659076727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INGRID QUIROZ

Provider Business Mailing Address
First Line	:	15414 W RITTER CIR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-3216
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7118 HARRISBURG BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77011-4735
Country	:	US
Telephone Number	:	832-830-8844
Fax Number	:

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

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	03/30/2023

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Directions to “ INGRID QUIROZ ” Practice Location

Language	Start Address	Practice Location

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