Individual
DR. ALFREDO VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2405 CLEAR CREEK RD, KILLEEN, TX 76549-5775
(254) 526-7523
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10017637
TX
207RP1001X
Pulmonary Disease Physician
01067295A
IN
207RP1001X
Pulmonary Disease Physician
Primary
P9982
TX
Other
Enumeration date
05/23/2007
Last updated
12/10/2021
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