Healthcare Provider Details

I. General information

NPI: 1225483928
Provider Name (Legal Business Name): LUCIA ALEJANDRA ESQUIVEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2016
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 N CAGE BLVD
PHARR TX
78577-3117
US

IV. Provider business mailing address

807 N CAGE BLVD
PHARR TX
78577-3117
US

V. Phone/Fax

Practice location:
  • Phone: 956-283-1889
  • Fax:
Mailing address:
  • Phone: 956-283-1889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: