Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | J0709 | TX |
Y | 207XS0117X | Orthopaedic Spine Surgeon | J0709 | TX |
NPI | 1144267949 |
---|---|
Provider Name | Dr. Pablo Vazquez-Seoane |
First Address | San Antonio, TX 78240-1598 |
Second Address | San Antonio, TX 78240-1598 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 26/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E93187 | (02) | TX |