Healthcare Provider Details

I. General information

NPI: 1831955970
Provider Name (Legal Business Name): AMBER ESCOBAR IOM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2915 W BITTERS RD STE 201
SAN ANTONIO TX
78248-2007
US

IV. Provider business mailing address

2915 W BITTERS RD STE 201
SAN ANTONIO TX
78248-2007
US

V. Phone/Fax

Practice location:
  • Phone: 210-598-2800
  • Fax:
Mailing address:
  • Phone: 210-598-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: