Individual
LISA MARIE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3404 S COUNTY ROAD 1213, MIDLAND, TX 79706-3427
(432) 967-7954
Mailing address
3404 S COUNTY ROAD 1213, MIDLAND, TX 79706-3427
(432) 967-7954
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1179320
TX
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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