Individual
ALICIA MARIE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP-PC
Contact information
Practice address
5720 PINELAND DR, SUITE 260, DALLAS, TX 75213
(214) 221-0855
Mailing address
10539 NEWCOME DR, DALLAS, TX 75228
(972) 213-7324
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1048568
TX
Other
Enumeration date
08/03/2021
Last updated
09/29/2025
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