Healthcare Provider Details

I. General information

NPI: 1184397168
Provider Name (Legal Business Name): ESCOTRON ENTERPRISES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 07/29/2023
Certification Date: 07/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9110 WHEAT CROSS DR STE A
HOUSTON TX
77095-5215
US

IV. Provider business mailing address

9110 WHEATCROSS DR SUITE A
HOUSTON TX
77095-3612
US

V. Phone/Fax

Practice location:
  • Phone: 346-800-2638
  • Fax:
Mailing address:
  • Phone: 832-675-0222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: LAURA CINTRON ESCOBAR
Title or Position: PRESIDENT
Credential: MA, CSC, LPC-S
Phone: 210-413-0367