| Angel Vazquez, MD | |
|
603 S Canal St, Whiteville, NC 28472-4256 | |
| (910) 642-3700 | |
| (910) 642-5146 |
| Full Name | Angel Vazquez |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 603 S Canal St, Whiteville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659477677 | NPI | - | NPPES |
| 891122K | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 9701181 (North Carolina) | Primary |
| Entity Name | Rha Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447376306 PECOS PAC ID: 8426196072 Enrollment ID: O20091119000172 |
| Entity Name | Premier Behavioral Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657645 PECOS PAC ID: 6406003334 Enrollment ID: O20120829000314 |
| Entity Name | Rha Behavioral Health Nc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700318680 PECOS PAC ID: 4688948656 Enrollment ID: O20170914003770 |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Vazquez, MD 603 S Canal St, Whiteville, NC 28472-4256 Ph: (910) 642-3700 | Angel Vazquez, MD 603 S Canal St, Whiteville, NC 28472-4256 Ph: (910) 642-3700 |
Dr. Donald Jeffrey Solomon, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 506 Jefferson St, Whiteville, NC 28472 Phone: 910-640-2232 Fax: 910-640-2470 |