Ricardo Quezada Real MD PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

RICARDO QUEZADA REAL MD PLLC

Practice address

951 York Dr Ste 103
Desoto, TX 75115-2052

Phone

(972) 866-4311

Fax

(972) 866-4312

NPI assigned

Dec 16, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ricardo Quezada, MDNPI 1053502435

Title

Physician

Phone

(918) 636-4835

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo Manuel Quezada, M.D.

  • Infectious Disease Physician
  • Munster, IN
  • NPI 1053502435

  TX

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1073084299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9038 DILLON TRL",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750638069",
            "telephone_number": "918-636-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 YORK DR STE 103",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152052",
            "telephone_number": "972-866-4311",
            "fax_number": "972-866-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO QUEZADA REAL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "QUEZADA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-636-4835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.