Active NPI
Randy Vazquez
- Perfusionist
- Lubbock, TX
National Provider Identifier
1053749044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- PF1194
- Practice address
- 3615 19TH St # 151
Lubbock, TX 79410-1203 - Phone
- (806) 723-7146
- NPI assigned
- Oct 29, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Perfusionist | 242T00000X | PF1194 | TX | Primary |
Addresses
Primary practice location
3615 19TH St # 151
Lubbock, TX 79410-1203
Mailing address
5202 Auburn St Apt 1616
Lubbock, TX 79416-1487
Phone (520) 971-7134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PF1194 | TX | MD | Perfusionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1053749044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5202 AUBURN ST APT 1616",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794161487",
"telephone_number": "520-971-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 19TH ST # 151",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101203",
"telephone_number": "806-723-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "RANDY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-29",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "TX",
"license": "PF1194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.