Vasques, Deette Ray
Vasques, Deette Ray is an individual health care provider with primary practice located at 800 W Magnolia Ave , Fort Worth TX 76104-4611. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Vasques, Deette Ray can be contacted via phone (817) 759-7000.Contact Information
Primary practice address
800 W Magnolia Ave
Fort Worth TX 76104-4611
Phone: (817) 759-7000
Fax: (817) 759-7027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | OS012961 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | N5453 | Texas |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | N5453 | Texas |
Profile Details
| NPI number | 1093743098 |
|---|---|
| LBN Legal business name | Vasques, Deette Ray |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Dec 18th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093743098 | NPPES |
| Texas | Other | 8CF728 | BCBS |
| Texas | MEDICAID | 204475201 | BCBS |
| Texas | MEDICAID | 204475202 | BCBS |
| Texas | Other | 8CD938 | BCBS |
| Texas | MEDICAID | 204475203 | BCBS |
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