Individual
IRMARIS RIOS-VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7272 WURZBACH RD STE 706, SAN ANTONIO, TX 78240-4803
(210) 615-3483
Mailing address
5275 TOWN AND COUNTRY BLVD, FRISCO, TX 75034-6223
(787) 410-5723
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
37953
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37953
LICENSE
TX
Enumeration date
04/12/2019
Last updated
04/12/2019
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