JAIME J. VASQUEZ, D.O., P.A.
Ambulatory Health at Welborn St, Dallas, TX

License number
Texas H4764
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. JAIME JAVIER VASQUEZ D.O.
Title: PRESIDENT
Phone: (214) 528-1083
Address
Address
2929 Welborn St, Dallas, TX 75219
National Provider ID: 1518002237
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JAIME J. VASQUEZ, D.O., PA

2929 Welborn St, Dallas, TX 75219

Doing business as:
Jaime J. Vasquez, D.O., PA
Registration:
Apr 4, 2002
State ID:
0800070314
Business type:
Professional Association
President , Treasurer , Director , Member , Secretary:
Jaime J. Vasquez (President , Treasurer , Director , Member , Secretary)
Agent:
Bruce W. Bringardner,700 N Pearl St 25, Dallas, TX 75201 (Physical)
TIN:
30115916881

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