Provider Demographics
NPI:1487682753
Name:QUIROS, RUBEN E (MD)
Entity type:Individual
Prefix:
First Name:RUBEN
Middle Name:E
Last Name:QUIROS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:985160 NEBRASKA MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-5160
Mailing Address - Country:US
Mailing Address - Phone:402-559-2412
Mailing Address - Fax:402-559-9525
Practice Address - Street 1:6410 FANNIN ST
Practice Address - Street 2:500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3000
Practice Address - Country:US
Practice Address - Phone:832-325-7111
Practice Address - Fax:713-500-5711
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL4097207RG0100X, 2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147619406Medicaid
TX8K9794OtherBCBS
TX147619404OtherCSHCN
TX147619404Medicaid
TX147619406Medicaid
TX8K9794OtherBCBS