Individual
JOSE ANTONIO VAZQUEZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11351 JAMES WATT DR STE A, EL PASO, TX 79936-6605
(915) 694-4499
(915) 849-6603
Mailing address
10519 ONYXSTONE ST, EL PASO, TX 79924-1676
(915) 731-5016
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2081013
TX
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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