Dr. Pastor Gomez Vazquez, M.D.
Pediatrics in Lawton, OK. Individual provider (NPI-1).
NPI number1689635633
StatusActive
Last updated in NPPESAug 6, 2024
Details
- NPI
- 1689635633
- Entity type
- Individual (NPI-1)
- Name
- Dr. Pastor Gomez Vazquez
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2006
- Certification date
- Jul 30, 2024
- Last updated
- Aug 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | ME153892 | FL | Yes |
| 208000000X | Pediatrics | 4301088842 | MI | |
| 208000000X | Pediatrics | 12082 | PR |
Practice location
1515 Ne Lawrie Tatum RdLawton, OK 73507-3099
Phone 580-354-5000
Mailing address
409 Hannah Ave.Fletcher, OK 73541
Phone 580-277-5544
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