Healthcare Provider Details

I. General information

NPI: 1649256447
Provider Name (Legal Business Name): BEATRIZ E. ESCOBAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 DATAPOINT DR STE 600
SAN ANTONIO TX
78229-5907
US

IV. Provider business mailing address

8401 DATAPOINT DR STE 600 P. O. BOX 29407
SAN ANTONIO TX
78229-5907
US

V. Phone/Fax

Practice location:
  • Phone: 210-616-7700
  • Fax: 210-616-7709
Mailing address:
  • Phone: 210-616-7700
  • Fax: 210-616-7709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number287510
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number287510
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: