Healthcare Provider Details

I. General information

NPI: 1700393568
Provider Name (Legal Business Name): YAMIN ESCALANTE PHARM.D., RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2018
Last Update Date: 01/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 FAIRMONT PKWY
PASADENA TX
77505-3802
US

IV. Provider business mailing address

5200 FAIRMONT PKWY
PASADENA TX
77505-3802
US

V. Phone/Fax

Practice location:
  • Phone: 281-487-8091
  • Fax: 281-487-9271
Mailing address:
  • Phone: 281-487-8091
  • Fax: 281-487-9271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number45902
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: