Provider Demographics
NPI:1316008071
Name:DONES VAZQUEZ, JOSE G (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:G
Last Name:DONES VAZQUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:597 W SESAME DR
Mailing Address - Street 2:STE E
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8770
Mailing Address - Country:US
Mailing Address - Phone:956-425-3706
Mailing Address - Fax:956-425-6731
Practice Address - Street 1:597 W SESAME DR
Practice Address - Street 2:SUITE D
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8364
Practice Address - Country:US
Practice Address - Phone:956-425-3706
Practice Address - Fax:956-425-6731
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2016-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL4341207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155726601Medicaid
TXMDL4341OtherWORKER'S COMP ID NUMBER
TX00000062JDOtherBCBS IND #
TXMDL4341OtherWORKER'S COMP ID NUMBER
TX8A1573Medicare PIN