Healthcare Provider Details
I. General information
NPI: 1992812986
Provider Name (Legal Business Name): AGUSTIN ESCALANTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/24/2006
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8300 FLOYD CURL DR
SAN ANTONIO TX
78229-3931
US
IV. Provider business mailing address
8435 WURZBACH RD STE 305
SAN ANTONIO TX
78229-3374
US
V. Phone/Fax
- Phone: 210-450-9000
- Fax:
- Phone: 210-450-9000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | J1240 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | J1240 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: