Healthcare Provider Details

I. General information

NPI: 1003434820
Provider Name (Legal Business Name): FRANCISCO ANDRES ESCOBAR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2020
Last Update Date: 07/08/2020
Certification Date: 07/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 N YARDBROUGH DR SUITE N
EL PASO TX
79925
US

IV. Provider business mailing address

608 STALLION WAY
EL PASO TX
79922-2329
US

V. Phone/Fax

Practice location:
  • Phone: 915-591-9999
  • Fax:
Mailing address:
  • Phone: 915-929-0895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number36140
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: