Provider Demographics
NPI:1477794675
Name:QUIGLEY, JAMES ROBERT I (APRN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ROBERT
Last Name:QUIGLEY
Suffix:I
Gender:M
Credentials:APRN
Other - Prefix:MR
Other - First Name:JAMES
Other - Middle Name:ROBERT
Other - Last Name:QUIGLEY
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:3705 FM 1488 RD
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3951
Mailing Address - Country:US
Mailing Address - Phone:281-298-8705
Mailing Address - Fax:713-790-8703
Practice Address - Street 1:3705 FM 1488 RD
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-3951
Practice Address - Country:US
Practice Address - Phone:281-298-8705
Practice Address - Fax:713-482-4961
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX782791163W00000X
TXAP124896363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX380939401Medicaid