MEDICARE: DR. DAVID ALLEN ESCOBEDO PHARM.D.

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
1	183500000X	Pharmacist	46584	TX

General Provider Information

NPI Number	:	1538462718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ALLEN ESCOBEDO PHARM.D.

Provider Business Mailing Address
First Line	:	7829 FALCON DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-5900
Country	:	US
Telephone Number	:	806-535-1332
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 E HOUSTON ST
Second Line	:
City	:	BEEVILLE
State	:	TX
Zip	:	78102-4822
Country	:	US
Telephone Number	:	361-362-0469
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2010
Last Update Date	:	12/10/2010

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