Provider Demographics
NPI:1497255673
Name:QUIROZ, GIOVONNI (DC)
Entity type:Individual
Prefix:DR
First Name:GIOVONNI
Middle Name:
Last Name:QUIROZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:TX
Mailing Address - Zip Code:79360
Mailing Address - Country:US
Mailing Address - Phone:432-758-5786
Mailing Address - Fax:
Practice Address - Street 1:211 NE 2ND ST
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:TX
Practice Address - Zip Code:79360
Practice Address - Country:US
Practice Address - Phone:432-758-5786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-14
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13447111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor