IVAN MANUEL DEQUESADA

FORT WORTH, TX
NPI1780902593
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: TX  Q7548)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: GA  004915)
Enumeration Date2010-05-04
Last Update Date2021-09-28
Business Address
Dr. IVAN MANUEL DEQUESADA M.D.
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2224
Phone number: 817-321-0300
Mailing Address
Dr. IVAN MANUEL DEQUESADA M.D.
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2224
Phone number: 817-321-0404