Vizuete, Jack R.

Vizuete, Jack R. is an individual health care provider with primary practice located at 7703 Floyd Curl Dr Dept. Of Oral And Maxillofacial Surgery - Mc7908, San Antonio TX 78229-3901. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Vizuete, Jack R. can be contacted via phone (210) 567-3470.

Contact Information

Primary practice address
7703 Floyd Curl Dr Dept. Of Oral And Maxillofacial Surgery - Mc7908 San Antonio TX 78229-3901
Phone: (210) 567-3470
Fax: (210) 567-2995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 14375 Texas
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 14375 Texas

Profile Details

NPI number 1477552925
LBN Legal business name Vizuete, Jack R.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Mar 7th, 2023 - about 2 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 1477552925 NPPES
Texas MEDICAID 1306284-03
Texas Other 742404710
Texas Other D14375
Texas MEDICAID 1306284-05
Texas Other 840368

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