Provider Demographics
NPI:1437419595
Name:QUIROZ, ROBERT (CO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:QUIROZ
Suffix:
Gender:M
Credentials:CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 BABCOCK RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4544
Mailing Address - Country:US
Mailing Address - Phone:210-340-5972
Mailing Address - Fax:210-340-2214
Practice Address - Street 1:1901 BABCOCK RD STE 103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4544
Practice Address - Country:US
Practice Address - Phone:210-340-5972
Practice Address - Fax:210-340-2214
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX177222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist