Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | N0004 | TX |
NPI | 1245408780 |
---|---|
Provider Name | Julian Camilo Escobar |
First Address | Dallas, TX 75248-1983 |
Second Address | Irving, TX 75039-2473 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2008 |
Last Update Date | 05/02/2019 |