Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Walter Cornelio Quijada Henriquez, SA-C

Individual provider Surgical Assistant · NPI 1265207849

Walter Cornelio Quijada Henriquez, SA-C is a Surgical Assistant in Smyrna, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2023
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Practice location Address checks out

507 Derby Pl
Smyrna, TN 37167-5915
Phone: (629) 200-5895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 23-704 (TN)

Record details

NPI number1265207849
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C
Sole proprietorYes
NPI enumeratedNovember 24, 2023
Last updated in NPPESNovember 24, 2023
Certification dateNovember 24, 2023

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