Healthcare Provider Details

I. General information

NPI: 1073747150
Provider Name (Legal Business Name): DON ESCARZEGA-PHAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2009
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1119 W RANDOL MILL RD # 100
ARLINGTON TX
76012-6509
US

IV. Provider business mailing address

1119 W RANDOL MILL RD # 100
ARLINGTON TX
76012-6509
US

V. Phone/Fax

Practice location:
  • Phone: 817-860-2700
  • Fax: 817-860-2704
Mailing address:
  • Phone: 817-860-2700
  • Fax: 817-860-2704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberN9850
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: