Active NPI
Jose Javier Vazquez, M.D.
- Psychiatry Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- N7017
- 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
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 |
|---|---|---|---|---|
| Psychiatry Physician | 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindcare Solutions of Texas PA | Single Specialty | Current | Accepting new patients |
| Border Region MH Mr Community Center | Single Specialty | Current | Accepting new patients |
| Texas Health Virtual Care | Single Specialty | Current | 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
- 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.
-
- Psychiatry Physician
- Laredo, TX
- NPI 1124060173
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.