Provider Demographics
NPI:1013242320
Name:VASQUEZ, MARGARET ALICE (RN, MS, CFNP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ALICE
Last Name:VASQUEZ
Suffix:
Gender:F
Credentials:RN, MS, CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77587-4252
Mailing Address - Country:US
Mailing Address - Phone:713-946-7461
Mailing Address - Fax:713-946-7426
Practice Address - Street 1:1500 MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77587-4252
Practice Address - Country:US
Practice Address - Phone:713-946-7461
Practice Address - Fax:713-946-7426
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX257783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily