MEDICARE: ISABEL VAZQUEZ HERNANDEZ AG-ACNP

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
1	363LA2100X	Acute Care Nurse Practitioner	1202402	TX

General Provider Information

NPI Number	:	1427942879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABEL VAZQUEZ HERNANDEZ AG-ACNP

Provider Business Mailing Address
First Line	:	9218 NORTHCHASE BLVD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78250-3572
Country	:	US
Telephone Number	:	210-459-2360
Fax Number	:

Provider Business Practice Location Address
First Line	:	5742 W LOOP 1604 N
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-3811
Country	:	US
Telephone Number	:	210-622-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2025
Last Update Date	:	06/09/2025

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