Individual
DR. INES EUNICE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7322 SOUTHWEST FWY, SUITE 160, HOUSTON, TX 77074-2010
(713) 532-6884
(713) 532-5756
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J1420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088333201
—
TX
05
—
092952301
—
TX
05
—
125486405
—
TX
01
—
7420891032
TAX ID NUMBER
TX
01
—
8R9150
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/22/2006
Last updated
08/08/2012
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