| Doctor Name: | MS. TANA RENAE VASQUEZ |
| NPI Number: | 1861573891 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 776835 |
| Business Practice Address: | Bldg 94043 North Clark Road Russell Collier Health Care Clinic Ft Hood, TX - 76544 |
| Business Phone Number: | 2545533014 |
| Business Fax Number: | 2545533119 |
| Mailing Address: | 418 Downing St, BELTON |
| State: | TX |
| Postal Code: | 765132050 |
| Phone Number: | 8502326587 |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 02/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 776835 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |