Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 26953 | MS |
N | 208600000X | Surgeon | 26953 | MS |
N | 2086S0105X | Surgery of the Hand | 26953 | MS |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 26953 | MS |
NPI | 1780994509 |
---|---|
Provider Name | Dr. Hugo Palacios Vazquez |
First Address | Augusta, GA 30914-3726 |
Second Address | Jackson, MS 39204-3404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2010 |
Last Update Date | 23/03/2021 |