MEDICARE: DR. JAIME MOISES VASQUEZ M.D.

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	174400000X	Specialist	MD0000021256	TN

General Provider Information

NPI Number	:	1629091301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAIME MOISES VASQUEZ M.D.

Provider Business Mailing Address
First Line	:	2410 PATTERSON ST STE 401
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-6520
Country	:	US
Telephone Number	:	615-321-8899
Fax Number	:	615-321-8877

Provider Business Practice Location Address
First Line	:	2410 PATTERSON ST STE 401
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-6520
Country	:	US
Telephone Number	:	615-321-8899
Fax Number	:	615-321-8877

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	05/15/2020

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