Provider Demographics
NPI:1326792698
Name:ELIAS VAZQUEZ, ALEJANDRO JOSE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:JOSE
Last Name:ELIAS VAZQUEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5849 BUFFALO GAP RD STE D
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-1263
Mailing Address - Country:US
Mailing Address - Phone:325-704-3310
Mailing Address - Fax:
Practice Address - Street 1:5849 BUFFALO GAP RD STE D
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-1263
Practice Address - Country:US
Practice Address - Phone:325-704-3310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX14952OtherTEXAS BOARD OF CHIROPRACTIC EXAMINERS