Vasquez, Javier Martin
Vasquez, Javier Martin is an individual health care provider with primary practice located at 5316 Trail Lake Dr , Fort Worth TX 76133-1931. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as his primary health care specialty. Vasquez, Javier Martin can be contacted via phone (817) 292-8787.Contact Information
Primary practice address
5316 Trail Lake Dr
Fort Worth TX 76133-1931
Phone: (817) 292-8787
Fax: (817) 789-6849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | 35399 | Texas |
Profile Details
| NPI number | 1841514221 |
|---|---|
| LBN Legal business name | Vasquez, Javier Martin |
| Credentials | STA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2010 |
| Last updated | Mar 15th, 2010 - about 14 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 | 1841514221 | NPPES |
| Texas | MEDICAID | 149984001 |
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