Vazquez-Agosto, Samuel

Vazquez-Agosto, Samuel is an individual health care provider with primary practice located at 1301 Medical Pkwy Ste 200 , Cedar Park TX 78613-2529. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is his primary health care specialty. Vazquez-Agosto, Samuel can be contacted via phone (512) 380-9200.

Contact Information

Primary practice address
1301 Medical Pkwy Ste 200 Cedar Park TX 78613-2529
Phone: (512) 380-9200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME61705 Florida
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X ME61705 Florida
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X T1876 Texas

Profile Details

NPI number 1477535615
LBN Legal business name Vazquez-Agosto, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Mar 13th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477535615 NPPES
Florida MEDICAID 370953100

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