Provider Demographics
NPI:1265030456
Name:ANDREW M. QUINN III, MD PLLC
Entity Type:Organization
Organization Name:ANDREW M. QUINN III, MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:MCSWIGAN
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:713-824-5028
Mailing Address - Street 1:2729 WROXTON RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1313
Mailing Address - Country:US
Mailing Address - Phone:832-753-7546
Mailing Address - Fax:832-753-7548
Practice Address - Street 1:4110 BELLAIRE BLVD STE 202
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1057
Practice Address - Country:US
Practice Address - Phone:832-753-7546
Practice Address - Fax:832-753-7548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-11
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1588044978OtherNPI