Provider Demographics
NPI:1689066110
Name:QUINNY, ALAN
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:QUINNY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3418 HIGHWAY 6 S
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-4206
Mailing Address - Country:US
Mailing Address - Phone:832-732-3207
Mailing Address - Fax:
Practice Address - Street 1:3418 HIGHWAY 6 S # B201
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-4206
Practice Address - Country:US
Practice Address - Phone:832-732-3207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide