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NPI Code Detail

MEDICARE: NOEL ESCOBAR

MEDICARE: NOEL ESCOBAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033449590
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOEL ESCOBAR
Provider Business Mailing Address
First Line : PO BOX 22
Second Line :
City : CALUMET
State : OK
Zip : 73014-0022
Country : US
Telephone Number : 405-630-5920
Fax Number :
Provider Business Practice Location Address
First Line : 2220 N CLASSEN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-5809
Country : US
Telephone Number : 405-528-1748
Fax Number : 405-528-1802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2010
Last Update Date : 01/06/2010

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Directions to “ NOEL ESCOBAR ” Practice Location

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