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NPI Code Detail

MEDICARE: AIDA LUZ VAZQUEZ

MEDICARE: AIDA LUZ VAZQUEZ
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
1225XG0600XGerontology Occupational Therapist102533TX

General Provider Information

NPI Number : 1992285142
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIDA LUZ VAZQUEZ
Provider Business Mailing Address
First Line : 4206 WILLOW BEACH DR
Second Line :
City : HOUSTON
State : TX
Zip : 77072-1436
Country : US
Telephone Number : 281-933-0058
Fax Number :
Provider Business Practice Location Address
First Line : 3640 HAMPTON DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-3016
Country : US
Telephone Number : 281-778-5144
Fax Number : 281-778-5149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 08/17/2018

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Directions to “ AIDA LUZ VAZQUEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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