Individual
BAILEY BROOK VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 676-5114
Mailing address
1105 SW 30TH CT, MOORE, OK 73160-2887
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38198
OK
390200000X
Student in an Organized Health Care Education/Training Program
38198
OK
Other
Enumeration date
06/21/2021
Last updated
07/21/2025
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