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Contact Information

MARIELA D VASQUEZ, MD
1201 W FRANK
MEMORIAL MEDICAL CENTER
LUFKIN, TX75904
 Phone: 936-639-7557
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MARIELA D VASQUEZ · (Female)

NPI # 1124128590
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # J6787
  • Other 8661B0 BCBS
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER LIVINGSTON - (Acute Care)
    1717 HWY 59 BYPASS
    LIVINGSTON, TX 77351
  • MEMORIAL MEDICAL CENTER OF EAST TEXAS - (Acute Care)
    1201 WEST FRANK STREET
    LUFKIN, TX 75901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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