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NPI Code Detail

MEDICARE: BERTHA VASQUEZ FNP

MEDICARE: BERTHA VASQUEZ FNP
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
1363LF0000XFamily Nurse Practitioner633193TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18N3332OTHERTXBC/BS
285434OTHERTXPRESBYTERIAN SALUD
379751032OTHERTXCONSULTEC
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972595304
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERTHA VASQUEZ FNP
Provider Business Mailing Address
First Line : 2600 N OREGON ST
Second Line : SUITE 800
City : EL PASO
State : TX
Zip : 79902-3170
Country : US
Telephone Number : 915-534-2531
Fax Number : 915-532-2094
Provider Business Practice Location Address
First Line : 2600 N OREGON ST
Second Line : SUITE 800
City : EL PASO
State : TX
Zip : 79902-3170
Country : US
Telephone Number : 915-534-2531
Fax Number : 915-532-2094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 07/08/2007

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Directions to “ BERTHA VASQUEZ FNP” Practice Location

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