Individual provider Active NPI

Jose Javier Vazquez, M.D.

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1235454281
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N7017 Issued in TX
Practice address
7808 Clodus Fields Dr
Dallas, TX 75251-2206
Phone
(817) 718-4022
NPI assigned
Apr 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X N7017 TX Primary

Addresses

Primary practice location

7808 Clodus Fields Dr
Dallas, TX 75251-2206

Mailing address

7808 Clodus Fields Dr
Dallas, TX 75251-2206
Phone (817) 718-4022

Other practice location 1

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 718-4022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101229000379 TX Practitioner - Psychiatry 5799973145 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University Central del Caribe Escuela de Medicina, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Virtual CareGroup PAC ID 5991176356, 40 clinicians

Practice addresses (Care Compare)

240 N Miller Rd
Mansfield, TX 76063-5842
Phone (214) 432-8322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mindcare Solutions of Texas PA Single Specialty CurrentSince Feb 3, 2021 Accepting new patients
Border Region MH Mr Community Center Single Specialty CurrentSince Jan 12, 2023 Accepting new patients
Texas Health Virtual Care Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
Texas Health Virtual Care Single Specialty Current Accepting new patients

Locations

101 S Avenue T
Clifton, TX 76634
Phone (254) 675-8322

2710 Sunset Strip
Ste C
Greenville, TX 75402
Phone (844) 291-4525

1500 Pappas St
Laredo, TX 78041
Phone (956) 794-3000

240 N Miller Rd
Mansfield, TX 76063
Phone (214) 432-8322

Interoperability endpoints

  • Direct secure messaging: jvazquez2596073@direct.texashealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1235454281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 CLODUS FIELDS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512206",
            "telephone_number": "817-718-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 CLODUS FIELDS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512206",
            "telephone_number": "817-718-4022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044917",
            "country_code": "US",
            "telephone_number": "817-718-4022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JOSE",
        "middle_name": "JAVIER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N7017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.