Walter Y. Quijano, PH.D., P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

21679 Issued in TX

Legal business name

WALTER Y. QUIJANO, PH.D., P.C.

Practice address

901 N Thompson St
Conroe, TX 77301-2554

Phone

(936) 539-2226

Fax

(936) 788-5897

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Walter Y. Quijano, PH.D.

Title

President

Phone

(936) 539-2226

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1124214838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N THOMPSON ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012554",
            "telephone_number": "936-539-2226",
            "fax_number": "936-788-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N THOMPSON ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012554",
            "telephone_number": "936-539-2226",
            "fax_number": "936-788-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER Y. QUIJANO, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "QUIJANO",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-539-2226",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "21679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00N55T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Lynn Wall, RPH
• Mackenzie Wallace
• Morgan William Wallace
• Tonya Michelle Wallace, LVN
• Michael James Walls, M.D.
• Brent R Walters
• Robyn Denese Walton, AGACNP-BC
• Benny Shangpin Wang, MD
• Zeeshawn Wani
• Ashley F Ward-Hines, LPC-S

• Psychologist in Conroe, TX
• Providers in Conroe, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.