MEDICARE: CATALINA EZQUERRA

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	106S00000X	Behavior Technician		TX

General Provider Information

NPI Number	:	1720905789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATALINA EZQUERRA

Provider Business Mailing Address
First Line	:	2602 BAYHILL CV
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4529
Country	:	US
Telephone Number	:	210-388-9218
Fax Number	:

Provider Business Practice Location Address
First Line	:	1020 CENTRAL PKWY S
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-5021
Country	:	US
Telephone Number	:	210-798-2273
Fax Number	:

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

Provider Enumeration Date	:	07/01/2026
Last Update Date	:	07/01/2026

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Directions to “ CATALINA EZQUERRA ” Practice Location

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