Individual
DR. SAMUEL VAZQUEZ-AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 MEDICAL PKWY STE 200, CEDAR PARK, TX 78613-2529
(512) 380-9200
Mailing address
1301 MEDICAL PKWY STE 200, CEDAR PARK, TX 78613-2529
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
ME61705
FL
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
T1876
TX
2080P0214X
Pediatric Pulmonology Physician
ME61705
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370953100
—
FL
Enumeration date
11/15/2005
Last updated
03/13/2023
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