Doctor Name: | JOE LOUIS VASQUEZ |
NPI Number: | 1073991485 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | A-GNP-C |
License Number: | AP127689 |
Business Practice Address: | 3317 Avenue F Bay City, TX - 774147107 |
Business Phone Number: | 9793239752 |
Business Fax Number: | |
Mailing Address: | 2205 Avenue K, BAY CITY |
State: | TX |
Postal Code: | 774145128 |
Phone Number: | 9793239752 |
Fax Number: | 9793239757 |
NPI Enumeration Date: | 05/18/2015 |
NPI Last Update Date: | 10/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | AP127689 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |