Active NPI
Leo Anthony Vasquez, D.C.
- Rehabilitation Chiropractor
- Houston, TX
National Provider Identifier
1184849853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 8332
- Practice address
- 1718 Fry Rd
#445
Houston, TX 77084-5832 - Phone
- (713) 334-3117
- Fax
- (713) 779-2904
- NPI assigned
- Apr 16, 2007
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 8332 | TX | Primary |
Addresses
Primary practice location
1718 Fry Rd
#445
Houston, TX 77084-5832
Mailing address
1718 Fry Rd
#445
Houston, TX 77084-5832
Phone (713) 334-3117
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 |
|---|---|---|---|
| 8332 | TX | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1184849853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 FRY RD",
"address_2": "#445",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770845832",
"telephone_number": "713-334-3117",
"fax_number": "713-779-2904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 FRY RD",
"address_2": "#445",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770845832",
"telephone_number": "713-334-3117",
"fax_number": "713-779-2904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "LEO",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "8332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.