Individual
LUZ ELVA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
2720 JOHN HAYES ST, EL PASO, TX 79938-2407
(915) 234-2609
Mailing address
3312 TIERRA SARA LN, EL PASO, TX 79938-4370
(915) 356-0440
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1231081274
TX
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
88956236995
TX
Other
Enumeration date
09/27/2023
Last updated
05/13/2024
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