Provider Demographics
NPI:1710006911
Name:VASQUEZ, DORIS ELIZABETH (LBSW)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:ELIZABETH
Last Name:VASQUEZ
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6535 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-1519
Mailing Address - Country:US
Mailing Address - Phone:281-888-1652
Mailing Address - Fax:
Practice Address - Street 1:5425 POLK ST
Practice Address - Street 2:SUITE J
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-1444
Practice Address - Country:US
Practice Address - Phone:713-767-3110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38493104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker