Individual
MAURA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2521 MILLS AVE, PORT ARTHUR, TX 77642-0530
(409) 549-0010
Mailing address
2521 MILLS AVE, PORT ARTHUR, TX 77642-0530
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
342185
TX
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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