Individual
ALICIA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
Mailing address
10009 ISLE ROYALE WAY, AUSTIN, TX 78747-2665
(361) 655-1170
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP134499
TX
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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