Organization
WEST TEXAS NEUROSURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS F VASQUEZ M.D. (MEDICAL DOCTOR)
(915) 534-2531
Entity
Organization
Contact information
Practice address
2600 N OREGON ST, SUITE800, EL PASO, TX 79902-3170
(915) 534-2531
(915) 532-2094
Mailing address
2600 N OREGON ST, SUITE800, EL PASO, TX 79902-3170
(915) 534-2531
(915) 532-2094
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G7903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14007147
RR/MCR
TX
01
—
2997HM
BC/BS
TX
05
—
81438601
—
TX
01
—
W1945
CONSULTEC
TX
Enumeration date
08/19/2005
Last updated
08/22/2020
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