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Individual

LIBIA M. VASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
701 S ZARZAMORA ST, SAN ANTONIO, TX 78207-5209
(210) 358-7000
(210) 358-7474
Mailing address
903 W MARTIN ST # MS 49-2, SAN ANTONIO, TX 78207-0903
(210) 358-0572
(210) 358-5940

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S4701
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
S4701
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
412330901
TX
01
412330902
CSHCN
TX
Enumeration date
04/11/2017
Last updated
10/02/2024
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