Provider Demographics
NPI:1154149276
Name:VAZQUEZ, ALICIA ACOSTA (ALIMEX HEALTH CARE)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:ACOSTA
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:ALIMEX HEALTH CARE
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:ACOSTA
Other - Last Name:VAZQUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ALIMEX HEALTH CARE
Mailing Address - Street 1:4134 GROTON DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-1211
Mailing Address - Country:US
Mailing Address - Phone:832-919-0027
Mailing Address - Fax:
Practice Address - Street 1:4134 GROTON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-1211
Practice Address - Country:US
Practice Address - Phone:832-919-0027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-27
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health