REYMUNDO QUEZADA NPI 1760964183

NPI Information

  • NPI: 1760964183
  • Provider Name: REYMUNDO QUEZADA
  • Classification: Specialist/Technologist - 2355S0801X
  • Specialization: Speech-Language Assistant
  • Entity Type: Individual
  • Address: 4211 GARDENDALE ST STE 200A
    SAN ANTONIO, TX
    ZIP 78229
  • Phone: (210) 615-7837

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NPI Details

Reymundo Quezada is a speech-language assistant specialist technologist in San Antonio, TX. Reymundo Quezada NPI is 1760964183. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4211 GARDENDALE ST STE 200A
SAN ANTONIO, TX
ZIP 78229-529
Phone: (210) 615-7837

The enumeration date for this NPI number is 8/31/2018 and was last updated on 8/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12355S0801XSpecialist/TechnologistSpeech-Language Assistant37303TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11124259502MEDICAIDTEXAS
21578708483MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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