Individual
CAROLINE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 SAN BERNARDO AVE DEPT A202, LAREDO, TX 78040-2445
(956) 273-1500
(956) 273-1035
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1 SUITE 200, HURST, TX 76053
(172) 928-7878
(817) 789-6949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104456
STATE LICENSE
TX
Enumeration date
09/05/2008
Last updated
11/22/2023
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