Individual
JOSE JAVIER VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7808 CLODUS FIELDS DR, DALLAS, TX 75251-2206
(817) 718-4022
Mailing address
7808 CLODUS FIELDS DR, DALLAS, TX 75251-2206
(817) 718-4022
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N7017
TX
Other
Enumeration date
04/01/2010
Last updated
02/07/2020
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