Edwin Fabian Vazquez
Individual provider Active NPI Social Worker · Oklahoma City, OK
NPI 1942963756 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1942963756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 8852 (OK)
- Practice address
- 1111 N Lee Ave Ste 207
Oklahoma City, OK 73103-2620 - Phone
- (405) 516-0343
- NPI assigned
- Oct 19, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8852 | OK | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8852 | OK | Yes |
Addresses
Primary practice location
1111 N Lee Ave Ste 207
Oklahoma City, OK 73103-2620
Mailing address
1111 N Lee Ave Ste 207
Oklahoma City, OK 73103-2620
Phone (405) 516-0343
Other providers in Oklahoma City, OK
- Timothy Vavricka
- Hemylie A. Vazquez Gerena
- Alicia Vazquez
- Brenda Julisa Vazquez
- Cora Vazquez
- Vcphcs IV, LLC
- Monte D Veal
- Ruth Veales
- Fredrick Veasley
- Peace Uloma Veasley
All providers in Oklahoma City, OK · Social Worker in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.