Deette Ray Vasques
Obstetrician & Gynecologist Gynecologic Oncologist
800 W Magnolia Ave
Fort Worth
, Texas 76104-4611
Deette Ray Vasques
Obstetrician & Gynecologist Gynecologic Oncologist
800 W Magnolia Ave
Fort Worth
, Texas 76104-4611
(817) 759-7027
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Deette Ray Vasques
- 800 W Magnolia Ave
- Fort Worth, TX
- Zip : 76104-4611
- Fax : (817) 759-7027
- Phone : (817) 759-7000
Second Address
- Deette Ray Vasques
- 800 W Magnolia Ave
- Fort Worth, TX
- Zip : 76104-4611
- Fax : (817) 759-7027
- Phone : (817) 759-7000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | N5453 | TX |
| N | 207V00000X | Obstetrician & Gynecologist | OS012961 | PA |
| Y | 207VX0201X | Gynecologic Oncologist | N5453 | TX |
National Provider Identifier
| NPI | 1093743098 |
|---|---|
| Provider Name | Deette Ray Vasques |
| First Address | Fort Worth, TX 76104-4611 |
| Second Address | Fort Worth, TX 76104-4611 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2006 |
| Last Update Date | 18/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 204475201 | (05) | TX |
| 204475202 | (05) | TX |
| 204475203 | (05) | TX |
| 8CD938 | BCBS (01) | TX |
| 8CF728 | BCBS (01) | TX |
| I06149 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.