Individual
ALEXIS VASAVILBAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 TEPIC DR, EL PASO, TX 79912-1703
(915) 276-0864
Mailing address
715 TEPIC DR, EL PASO, TX 79912-1703
(915) 276-0864
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F11210576
TX
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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