Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | Q1126 | TX |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | Q1126 | TX |
NPI | 1366703720 |
---|---|
Provider Name | Dr. Angelica Esquivel Davila |
First Address | San Antonio, TX 78229-3901 |
Second Address | San Antonio, TX 78229-4896 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2012 |
Last Update Date | 21/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
372518601 | (05) | TX |
372518602 | CSHCN (01) | TX |