Provider Demographics
NPI:1194929513
Name:VASQUEZ, ISELA (MD)
Entity type:Individual
Prefix:DR
First Name:ISELA
Middle Name:
Last Name:VASQUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8711 VILLAGE DR STE 114
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5419
Mailing Address - Country:US
Mailing Address - Phone:210-297-2244
Mailing Address - Fax:210-297-2257
Practice Address - Street 1:7719 S IH 35 STE 212
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1134
Practice Address - Country:US
Practice Address - Phone:830-320-4955
Practice Address - Fax:830-320-4956
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN6747208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery