Individual
JACQUELINE VIZCAINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4647 MEDICAL DR, SAN ANTONIO, TX 78229-4403
(210) 358-4583
(210) 358-2653
Mailing address
PO BOX 734812, DALLAS, TX 75373-4812
(210) 358-9500
(210) 358-9183
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81162
TX
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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