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NPI Code Detail

MEDICARE: SUSAN MICHELLE VASQUEZ APRN, FNP-BC

MEDICARE: SUSAN MICHELLE VASQUEZ APRN, FNP-BC
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
1363LP2300XPrimary Care Nurse Practitioner1215772TX

General Provider Information

NPI Number : 1932077872
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN MICHELLE VASQUEZ APRN, FNP-BC
Provider Business Mailing Address
First Line : 211 S COLLEGE AVE
Second Line :
City : CLEVELAND
State : TX
Zip : 77327-4503
Country : US
Telephone Number : 281-592-8622
Fax Number : 281-592-8699
Provider Business Practice Location Address
First Line : 211 S COLLEGE AVE
Second Line :
City : CLEVELAND
State : TX
Zip : 77327-4503
Country : US
Telephone Number : 832-541-7586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2025
Last Update Date : 06/12/2026

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