Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | L5325 | TX |
N | 111NI0900X | Internist | L5325 | TX |
Y | 207RH0000X | Hematologist | L5325 | TX |
NPI | 1437177912 |
---|---|
Provider Name | Miguel A Escobar |
First Address | Dallas, TX 75303-1173 |
Second Address | Houston, TX 77030-3000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 03/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
153432301 | (05) | TX |
8G7490 | BCBS (01) | TX |
G30768 | (02) | TX |