Healthcare Provider Details

I. General information

NPI: 1942487608
Provider Name (Legal Business Name): ESCOBEDO DME INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2008
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4430 E 14TH ST STE E
BROWNSVILLE TX
78521-3240
US

IV. Provider business mailing address

1205 SANTA ANA AVE
RANCHO VIEJO TX
78575-9755
US

V. Phone/Fax

Practice location:
  • Phone: 956-504-6762
  • Fax:
Mailing address:
  • Phone: 956-350-5185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. JOSEPHAT ESCOBEDO
Title or Position: PRESIDENT
Credential: RPH
Phone: 956-504-6762