Healthcare Provider Details

I. General information

NPI: 1124186994
Provider Name (Legal Business Name): EUGENIO TRANQUILINO ESGUERRA JR. PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 WEST EXPRESSWAY 83 SUITE 5
MISSION TX
78572-9514
US

IV. Provider business mailing address

1904 TESORO BLVD
PHARR TX
78577-7580
US

V. Phone/Fax

Practice location:
  • Phone: 956-581-7171
  • Fax: 956-519-3935
Mailing address:
  • Phone: 956-283-9442
  • Fax: 956-519-3935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1128585
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: