Individual
JESUS VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8700 CROWNHILL BLVD STE 300, SAN ANTONIO, TX 78209-1128
(210) 824-5530
Mailing address
10314 CRYSTAL FIELD, SAN ANTONIO, TX 78254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
847186
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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