Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 32 | TX |
N | 222Z00000X | Podiatrist | 32 | TX |
Y | 224P00000X | Prosthetist | 32 | TX |
NPI | 1194958595 |
---|---|
Provider Name | Anna E Vasquez |
First Address | Fort Worth, TX 76104-4250 |
Second Address | Fort Worth, TX 76104-4250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2009 |
Last Update Date | 01/09/2009 |