Individual
KEYRA E G VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
6411 FANNIN ST STE MSB32.44, HOUSTON, TX 77030-1501
(713) 704-4000
(713) 704-5269
Mailing address
206 TRENT ST, VICTORIA, TX 77905-5416
(361) 894-1987
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
1057826
TX
363LN0000X
Neonatal Nurse Practitioner
1057826
TX
Other
Enumeration date
01/26/2023
Last updated
10/07/2024
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