Healthcare Provider Details

I. General information

NPI: 1427093434
Provider Name (Legal Business Name): DAVID FRANCIS ESCAMILLA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 03/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 W BRAKER LN
AUSTIN TX
78758-3801
US

IV. Provider business mailing address

1210 W BRAKER LN
AUSTIN TX
78758-3801
US

V. Phone/Fax

Practice location:
  • Phone: 512-978-9300
  • Fax: 512-279-2556
Mailing address:
  • Phone: 512-978-9300
  • Fax: 512-279-2556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberK6578
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: