Healthcare Provider Details

I. General information

NPI: 1073195632
Provider Name (Legal Business Name): ESMERALDA RUBY ESPINOSA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2021
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 S MCCOLL RD
EDINBURG TX
78539-9152
US

IV. Provider business mailing address

6431 FANNIN ST STE 5.170
HOUSTON TX
77030-1501
US

V. Phone/Fax

Practice location:
  • Phone: 956-661-0529
  • Fax: 956-618-4639
Mailing address:
  • Phone:
  • Fax: 713-500-0648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberV6923
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: