Individual provider Active NPI

Eduardo Vasquez

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1992453716
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1035375 Issued in TX
Practice address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone
(210) 358-4000
NPI assigned
Mar 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1035375 TX Primary

Addresses

Primary practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Mailing address

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220513001810 TX Practitioner - Nurse Practitioner 3173900032 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1035375TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince May 1, 2022 Accepting new patients
Advanced Clinician, Multispecialty Clinical Consultant Services, PLLC CurrentSince Jul 14, 2023 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince May 1, 2022 Accepting new patients
Pam Physician Enterprise Past Accepting new patients

Locations

3636 Medical Dr
San Antonio, TX 78229
Phone (210) 313-6774

307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

5418 N Loop 1604 W
Fl 3
San Antonio, TX 78249
Phone (210) 921-3550

4499 Medical Dr
San Antonio, TX 78229
Phone (210) 575-4325

11407 Wayland Way
San Antonio, TX 78233
Phone (210) 232-1023

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

4242 Medical Dr
Ste 6250
San Antonio, TX 78229
Phone (210) 479-3297

9014 Timber Path
San Antonio, TX 78250
Phone (210) 523-2455

10323 State Highway 151
San Antonio, TX 78251
Phone (210) 581-5306

8501 Laurens Ln
San Antonio, TX 78218
Phone (210) 804-1223

5101 Medical Dr
Fl 3
San Antonio, TX 78229
Phone (210) 592-5349

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

4647 Medical Dr
San Antonio, TX 78229
Phone (210) 358-2710

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

5101 Medical Dr
#3
San Antonio, TX 78229

17503 La Cantera Pkwy
#104404
San Antonio, TX 78257
Phone (210) 802-1661

6202 West Ave
San Antonio, TX 78213
Phone (210) 300-6907

18803 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 982-4600

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

19126 Stonehue
San Antonio, TX 78258
Phone (210) 313-2509

8902 Floyd Curl Dr
San Antonio, TX 78240
Phone (210) 575-8003

Interoperability endpoints

  • Direct secure messaging: evasquez23232@uhssa.direct-ci.com
  • Direct secure messaging: evasquez38401@direct.utmsa.com

Organizations & group practices 5

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": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1992453716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "EDUARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1035375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.