Individual
ELITANIA VAZQUEZ-LOEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9023
(469) 291-3369
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(469) 291-3369
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.35546
IL
363L00000X
Nurse Practitioner
209.010732
IL
363L00000X
Nurse Practitioner
Primary
AP141542
TX
Other
Enumeration date
10/01/2013
Last updated
02/06/2020
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