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Contact Information

KEVIN M RIVERA VAZQUEZ, MD
801 7TH AVE
FORT WORTH, TX76104-2733
 Phone: 682-885-4054
 Fax: 682-885-7497
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Anesthesiology

207LP3000X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for KEVIN M RIVERA VAZQUEZ · (Male)

NPI Number 1205011103
Status Active
Credentials MD
Entity Individual
Enumeration date 01/09/2008
Last updated 04/09/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TX License # N4704
Hospital affiliation(s) Not Available
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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