Healthcare Provider Details

I. General information

NPI: 1598933863
Provider Name (Legal Business Name): ESPARZA, COSTA LUNA, PRECIADO, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 02/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 S F ST STE 1
HARLINGEN TX
78550-6783
US

IV. Provider business mailing address

900 W SAM HOUSTON BLVD STE 1
PHARR TX
78577-5215
US

V. Phone/Fax

Practice location:
  • Phone: 956-444-0844
  • Fax: 956-444-0845
Mailing address:
  • Phone: 956-783-1000
  • Fax: 956-783-9679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberH7411
License Number StateTX

VIII. Authorized Official

Name: ANTONIO ESPARZA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 956-783-1000