Provider Demographics
NPI:1760101356
Name:QUINN PEDIATRICS, PLLC
Entity Type:Organization
Organization Name:QUINN PEDIATRICS, PLLC
Other - Org Name:QUINN PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PEDIATRIC NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUACH
Authorized Official - Suffix:
Authorized Official - Credentials:CPNP-PC
Authorized Official - Phone:469-348-6075
Mailing Address - Street 1:8901 KESSLER DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-0167
Mailing Address - Country:US
Mailing Address - Phone:469-348-6075
Mailing Address - Fax:
Practice Address - Street 1:5404 KENWOOD DR STE 200
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-3104
Practice Address - Country:US
Practice Address - Phone:469-613-2573
Practice Address - Fax:469-613-2583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-25
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty