The Vaz Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J3644 Issued in TX

Legal business name

THE VAZ CLINIC

Practice address

1103 N Sarah Dewitt Dr
Gonzales, TX 78629-3311

Phone

(830) 672-2424

Fax

(866) 622-2180

NPI assigned

Apr 14, 2009

Organization subpart

No

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

Authorized official

Name

Garth Olstein Vaz, M.D.NPI 1285636647

Title

President

Phone

(830) 672-2424

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garth O Vaz, M.D.

  • Family Medicine Physician
  • Gonzales, TX
  • NPI 1285636647
  Medicare reassignment NPD Authorized official
• Sofia Malik, FNP

  • Family Nurse Practitioner
  • Luling, TX
  • NPI 1932447406
  Medicare reassignment NPD
• Nicole M Herrick, P.A.

  • Physician Assistant
  • San Antonio, TX
  • NPI 1104143924
  NPD (past)
• Priscilla Layton, NP

  • Family Nurse Practitioner
  • Gonzales, TX
  • NPI 1659787612
  NPD (past)

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1962645465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 N SARAH DEWITT DR",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786293311",
            "telephone_number": "830-672-2424",
            "fax_number": "866-622-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N SARAH DEWITT DR",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786293311",
            "telephone_number": "830-672-2424",
            "fax_number": "866-622-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VAZ CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "VAZ",
        "authorized_official_first_name": "GARTH",
        "authorized_official_middle_name": "OLSTEIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-672-2424",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J3644",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J3644",
            "primary": true
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "TX",
            "license": "J3644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "203310201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacia D Sweeney, OTA
• T-Rex Therapy Services LLC
• Marie Ida Terreo, LVN
• Texan Nursing and Rehab of Gonzales LLC
• Texas Emergency Room Services PA
• John William Thomas, M.D.
• Kathryn Wynon Thomas, PT
• Mary Thomas, M.D
• Touchstone Strategies, LLC
• Allison Renee Trent

• Family Medicine Physician in Gonzales, TX
• Providers in Gonzales, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.