Individual
CARLOS W VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1240 LOMALAND DR, EL PASO, TX 79907-1405
(915) 591-4441
(915) 591-0142
Mailing address
1240 LOMALAND DR, EL PASO, TX 79907-1405
(915) 591-4441
(915) 591-0142
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K6392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042237001
—
TX
Enumeration date
09/14/2006
Last updated
06/07/2011
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