Individual
RANDY VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3615 19TH ST # 151, LUBBOCK, TX 79410-1203
(806) 723-7146
Mailing address
5202 AUBURN ST APT 1616, LUBBOCK, TX 79416-1487
(520) 971-7134
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
PF1194
TX
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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