Individual
DR. PASTOR GOMEZ VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3099
(580) 354-5000
Mailing address
409 HANNAH AVE., FLETCHER, OK 73541
(580) 277-5544
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12082
PR
208000000X
Pediatrics Physician
4301088842
MI
208000000X
Pediatrics Physician
Primary
ME153892
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200207740A
—
OK
Enumeration date
03/29/2006
Last updated
08/06/2024
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