Vazquez, Gerardo

Vazquez, Gerardo is an individual health care provider with primary practice located at 9849 Kenworthy St , El Paso TX 79924-4402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Vazquez, Gerardo can be contacted via phone (915) 215-5500.

Contact Information

Primary practice address
9849 Kenworthy St El Paso TX 79924-4402
Phone: (915) 215-5500
Fax: (915) 757-0720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X P8560 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X P8560 Texas

Profile Details

NPI number 1548588833
LBN Legal business name Vazquez, Gerardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2010
Last updated Oct 25th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548588833 NPPES
Texas MEDICAID 00000
Texas MEDICAID 11111

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