Provider Demographics
NPI:1609196567
Name:QUINTANA, VICKIE LOUISE (EMT-B)
Entity Type:Individual
Prefix:MRS
First Name:VICKIE
Middle Name:LOUISE
Last Name:QUINTANA
Suffix:
Gender:F
Credentials:EMT-B
Other - Prefix:MR
Other - First Name:JOSE
Other - Middle Name:ARTURO
Other - Last Name:QUINTANA
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:LP
Mailing Address - Street 1:9033 KNIGHT RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-4305
Mailing Address - Country:US
Mailing Address - Phone:713-771-3333
Mailing Address - Fax:
Practice Address - Street 1:9033 KNIGHT RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-4305
Practice Address - Country:US
Practice Address - Phone:713-771-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor