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NPI Code Detail

MEDICARE: JUAN ANTONIO ESPARZA NP

MEDICARE:   JUAN ANTONIO ESPARZA  NP
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
1363LA2200XAdult Health Nurse Practitioner1155677TX

General Provider Information

NPI Number : 1366114373
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN ANTONIO ESPARZA NP
Provider Business Mailing Address
First Line : 101 W KOENIG LN UNIT 100
Second Line :
City : AUSTIN
State : TX
Zip : 78751-1273
Country : US
Telephone Number : 512-416-9450
Fax Number :
Provider Business Practice Location Address
First Line : 101 W KOENIG LN UNIT 100
Second Line :
City : AUSTIN
State : TX
Zip : 78751-1273
Country : US
Telephone Number : 512-416-9450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2021
Last Update Date : 02/06/2025

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Directions to “ JUAN ANTONIO ESPARZA NP” Practice Location

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