Individual
DEETTE RAY VASQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
800 W MAGNOLIA AVE, FORT WORTH, TX 76104-4611
(817) 759-7000
(817) 759-7027
Mailing address
800 W MAGNOLIA AVE, FORT WORTH, TX 76104-4611
(817) 759-7000
(817) 759-7027
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
N5453
TX
207V00000X
Obstetrics & Gynecology Physician
OS012961
PA
207VX0201X
Gynecologic Oncology Physician
Primary
N5453
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204475201
—
TX
05
—
204475202
—
TX
05
—
204475203
—
TX
01
—
8CD938
BCBS
TX
01
—
8CF728
BCBS
TX
Enumeration date
06/29/2006
Last updated
02/06/2025
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