Healthcare Provider Details

I. General information

NPI: 1083451538
Provider Name (Legal Business Name): AMOR ESCALONA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2024
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 VETERANS DR
HARLINGEN TX
78550-8942
US

IV. Provider business mailing address

4509 HUMMINGBIRD LN N
HARLINGEN TX
78552-2422
US

V. Phone/Fax

Practice location:
  • Phone: 956-291-9324
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number710228
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: