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Individual

DR. EDUARDO GENARO VAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3215 GATEWAY BLVD W, EL PASO, TX 79903-4225
(915) 598-7246
(915) 633-6598
Mailing address
3215 GATEWAY BLVD W, EL PASO, TX 79903-4225
(915) 598-7246
(915) 633-6598

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
NO528
TX
208VP0014X
Interventional Pain Medicine Physician
N0528
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204872001
TX
Enumeration date
11/18/2008
Last updated
02/17/2020
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