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NPI Code Detail

MEDICARE: ROXANNA M. LLANOS-VASQUEZ MD

MEDICARE:   ROXANNA M. LLANOS-VASQUEZ  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianP9900TX

General Provider Information

NPI Number : 1356572887
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROXANNA M. LLANOS-VASQUEZ MD
Provider Business Mailing Address
First Line : 9727 POTEET JOURDANTON FWY
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78211-4574
Country : US
Telephone Number : 210-923-4372
Fax Number : 210-923-5581
Provider Business Practice Location Address
First Line : 9727 POTEET JOURDANTON FWY
Second Line : SUITE 104
City : SAN ANTONIO
State : TX
Zip : 78211-4574
Country : US
Telephone Number : 210-923-4372
Fax Number : 210-923-5581
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2009
Last Update Date : 01/06/2016

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Directions to “ ROXANNA M. LLANOS-VASQUEZ MD” Practice Location

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