Individual
DORA ROSALI VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6441
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704256988
MI
163W00000X
Registered Nurse
778890
TX
367500000X
Certified Registered Nurse Anesthetist
4704256988
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
AP118780
TX
Other
Enumeration date
01/25/2010
Last updated
05/15/2025
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