Individual
CARLOS VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6901 N LAMAR BLVD, AUSTIN, TX 78752-3529
(512) 939-5396
Mailing address
6901 N LAMAR BLVD, AUSTIN, TX 78752-3529
(512) 939-5396
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
107596
TX
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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