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General NPI Number Information
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NPI Number | 1336668524
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Entity Type | Organization
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Legal Business Name | DEBRA A VASQUEZ MD, PLLC
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 111 DALLAS ST
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City | SAN ANTONIO
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State | TX
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Zip | 78205-1201
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Country | US
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Telephone | 210-325-1222
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Fax |
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Provider Business Mailing Address
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Address Line | 700 N SAINT MARYS ST STE 1400
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City | SAN ANTONIO
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State | TX
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Zip | 78205-3535
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Country | US
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Telephone | 210-325-1222
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Fax | 210-588-0006
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBRA A VASQUEZ
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Credential | MD
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Telephone | 210-325-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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