Provider Demographics
NPI:1730713983
Name:QUINTANA HERNANDEZ, RICARDO JORGE (NP)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:JORGE
Last Name:QUINTANA HERNANDEZ
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4734 FALLING SUN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-1036
Mailing Address - Country:US
Mailing Address - Phone:832-831-4883
Mailing Address - Fax:713-485-4026
Practice Address - Street 1:4734 FALLING SUN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-1036
Practice Address - Country:US
Practice Address - Phone:832-831-4883
Practice Address - Fax:713-485-4026
Is Sole Proprietor?:No
Enumeration Date:2020-02-26
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX979239163W00000X
TX1110938363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse