Individual
JAVIER VASQUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 N HALL ST STE 100, DALLAS, TX 75226-1305
(214) 821-9600
(214) 823-5290
Mailing address
621 N HALL ST STE 100, DALLAS, TX 75226-1305
(148) 219-6002
(214) 823-5290
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L8992
TX
2086S0129X
Vascular Surgery Physician
Primary
L8992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167640501
—
TX
Enumeration date
06/14/2006
Last updated
01/11/2023
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