1447583646 NPI number — ASTRID MARCELA QUIROGA RN, FNP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447583646 NPI number — ASTRID MARCELA QUIROGA RN, FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
QUIROGA
Provider First Name:
ASTRID
Provider Middle Name:
MARCELA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN, FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
QUIROGA
Provider Other First Name:
ASTRID
Provider Other Middle Name:
MARCELA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN, FNP-BC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1447583646
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/19/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
723 SHOTWELL ST
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77020-4813
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-673-9400
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
723 SHOTWELL ST
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77020-4813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-673-9400
Provider Business Practice Location Address Fax Number:
713-673-9401
Provider Enumeration Date:
09/07/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  725714 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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