Individual
ANNA E VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPO
Contact information
Practice address
1401 W MAGNOLIA AVE, FORT WORTH, TX 76104-4250
(817) 923-2101
Mailing address
1401 W MAGNOLIA AVE, FORT WORTH, TX 76104-4250
(817) 923-2101
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
32
TX
224P00000X
Prosthetist
Primary
32
TX
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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