Provider Demographics
NPI:1609028729
Name:VOURAZERIS, JASON DUANE (MD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:DUANE
Last Name:VOURAZERIS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5959 GATEWAY BLVD W
Mailing Address - Street 2:120
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3331
Mailing Address - Country:US
Mailing Address - Phone:915-249-4000
Mailing Address - Fax:915-206-5949
Practice Address - Street 1:12770 EDGEMERE BLVD
Practice Address - Street 2:BUILDING F
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-4568
Practice Address - Country:US
Practice Address - Phone:915-249-4000
Practice Address - Fax:915-206-5949
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2015-08-04
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Provider Licenses
StateLicense IDTaxonomies
TXQ1531207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery