Individual
JORGE LUIS VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
614 FURMAN AVE, CORPUS CHRISTI, TX 78404-2325
(361) 882-9278
(361) 882-9279
Mailing address
901 MEDICAL CENTER BOULEVARD, ALICE, TX 78332
(361) 664-2440
(361) 664-6467
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M2518
TX
Other
Enumeration date
06/19/2006
Last updated
09/08/2014
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