Individual
DEBRA A VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 DALLAS ST, SAN ANTONIO, TX 78205-1201
(210) 325-1222
Mailing address
700 N SAINT MARYS ST STE 1400, SAN ANTONIO, TX 78205-3535
(210) 325-1222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M2169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177025701
—
TX
01
—
8P1781
BLUE CROSS & BLUE SHIELD
TX
01
—
P00271875
RAIL ROAD MEDICARE
TX
Enumeration date
10/19/2006
Last updated
01/27/2023
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