Quiambao, Enrique C

Quiambao, Enrique C is an individual health care provider with primary practice located at 1133 Medical Dr , Tyler TX 75701-2130. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Quiambao, Enrique C can be contacted via phone (903) 595-5486.

Contact Information

Primary practice address
1133 Medical Dr Tyler TX 75701-2130
Fax: (903) 595-5128
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 638062 Texas

Profile Details

NPI number 1285783894
LBN Legal business name Quiambao, Enrique C
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Dec 1st, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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