Healthcare Provider Details

I. General information

NPI: 1306487186
Provider Name (Legal Business Name): VIANEY ESCOBEDO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2019
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1814 ATRIUM PLACE DR
HARLINGEN TX
78550-2583
US

IV. Provider business mailing address

1509 DULLES DR
LAFAYETTE LA
70506-3718
US

V. Phone/Fax

Practice location:
  • Phone: 337-991-9276
  • Fax: 337-943-0846
Mailing address:
  • Phone: 337-991-9276
  • Fax: 337-943-0846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP143290
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP143290
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: