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NPI Code Detail

MEDICARE: HECTOR A. ESCAMILLA, M.D, P.A.

MEDICARE: HECTOR A. ESCAMILLA, M.D, P.A.
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
1208600000XSurgery PhysicianD0123TX
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianD0123TX

General Provider Information

NPI Number : 1265537351
Entity Type Code : Organization
Provider Name (Legal Business Name) : HECTOR A. ESCAMILLA, M.D, P.A.
Provider Business Mailing Address
First Line : PO BOX 2540
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78299-2540
Country : US
Telephone Number : 210-227-5168
Fax Number : 210-224-6945
Provider Business Practice Location Address
First Line : 621 N ALAMO ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78215-1836
Country : US
Telephone Number : 210-227-5168
Fax Number : 210-224-6945
Authorized Official
Title or Position : OWNER
Name : DR. HECTOR A ESCAMILLA
Credential : M.D.
Telephone Number : 210-227-5168
Provider Enumeration Date : 09/13/2006
Last Update Date : 07/21/2010

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