Healthcare Provider Details

I. General information

NPI: 1477181196
Provider Name (Legal Business Name): ANNETTE ESCOBEDO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2020
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S ZARAGOZA RD
EL PASO TX
79907-6635
US

IV. Provider business mailing address

300 S ZARAGOZA RD
EL PASO TX
79907-6635
US

V. Phone/Fax

Practice location:
  • Phone: 915-790-5700
  • Fax:
Mailing address:
  • Phone: 915-790-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberU3833
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: