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NPI Code Detail

MEDICARE: DR. RYAN JOSHUA QUINN MD

MEDICARE: DR. RYAN JOSHUA QUINN MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMA
2207RC0000XCardiovascular Disease PhysicianV2230TX

General Provider Information

NPI Number : 1710683545
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN JOSHUA QUINN MD
Provider Business Mailing Address
First Line : 1004 W 32ND ST STE 300
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1917
Country : US
Telephone Number : 512-324-3440
Fax Number : 512-406-6513
Provider Business Practice Location Address
First Line : 1004 W 32ND ST STE 300
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1917
Country : US
Telephone Number : 512-324-3440
Fax Number : 512-406-6513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2023
Last Update Date : 07/11/2024

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Directions to “ DR. RYAN JOSHUA QUINN MD” Practice Location

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