Healthcare Provider Details

I. General information

NPI: 1063082931
Provider Name (Legal Business Name): MICHAEL ESKANDER DDS, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8210 FLOYD CURL DR
SAN ANTONIO TX
78229-3923
US

IV. Provider business mailing address

8210 FLOYD CURL DRIVE MSC 8121
SAN ANTONIO TX
78229
US

V. Phone/Fax

Practice location:
  • Phone: 210-450-3636
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number37236
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: