DR. SAMUEL VAZQUEZ-AGOSTO M.D. NPI 1477535615

NPI Information

  • NPI: 1477535615
  • Provider Name: DR. SAMUEL VAZQUEZ-AGOSTO, M.D.
  • Classification: Pediatrics - 2080P0201X
  • Specialization: Pediatric Allergy/Immunology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1301 MEDICAL PKWY STE 200
    CEDAR PARK, TX
    ZIP 78613
  • Phone: (512) 380-9200

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NPI Details

DR. Samuel Vazquez-agosto, M.D. is a pediatric allergy/immunology pediatrics in Cedar Park, TX. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. DR. Samuel Vazquez-agosto, M.D. NPI is 1477535615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1301 MEDICAL PKWY STE 200
CEDAR PARK, TX
ZIP 78613-529
Phone: (512) 380-9200

The NPI 1477535615 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2005 and was last updated on 3/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & ImmunologyME61705FLORIDANo
22080P0214XPediatricsPediatric PulmonologyME61705FLORIDANo
32080P0201XPediatricsPediatric Allergy/ImmunologyT1876TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1370953100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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