| Organization Name: | FREDERICK E. QUIRANTE, DPM |
| NPI Number: | 1093991523 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHELLY GLYNN (OFFICE MANAGER) |
| Mailing Address: | 1323 S 27th St Ste 200 Nederland |
| State: | TX US |
| Postal Code: | 776276257 |
| Phone Number: | 4097294225 |
| Fax Number: | 4097297533 |
| NPI Enumeration Date: | 01/15/2008 |
| NPI Last Update Date: | 02/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |