Provider Demographics
NPI:1649596198
Name:MUSSET, QURANA FERN (DO)
Entity Type:Individual
Prefix:
First Name:QURANA
Middle Name:FERN
Last Name:MUSSET
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:QURANA
Other - Middle Name:FERN
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2520 SAN JOSE AVE
Mailing Address - Street 2:4D
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79930-1200
Mailing Address - Country:US
Mailing Address - Phone:405-361-2114
Mailing Address - Fax:
Practice Address - Street 1:4800 ALBERTA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2709
Practice Address - Country:US
Practice Address - Phone:915-545-6714
Practice Address - Fax:915-545-0901
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1046207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology