Individual
MR. LORENZO VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
7451 CHAPEL AVE, FORT WORTH, TX 76116-7090
(817) 294-7444
(817) 294-7172
Mailing address
PO BOX 860031, PLANO, TX 75086-0031
(817) 294-7444
(214) 838-3637
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00417
TX
Other
Enumeration date
01/23/2007
Last updated
04/10/2014
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