Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 04-33661 | KS |
Y | 2080P0214X | Pediatric Pulmonologist | 2009007989 | MO |
NPI | 1659531846 |
---|---|
Provider Name | Hugo Escobar |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 08/09/2015 |