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General NPI Number Information
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NPI Number | 1205385523
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Entity Type | Individual
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Provider Name | JOSE ERNESTO ESCOBAR-FERIX RN
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Gender | Male
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Dates
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Enumeration Date | 09/28/2016
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 31315 FM 2920 RD STE 16A
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City | WALLER
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State | TX
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Zip | 77484-8022
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Country | US
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Telephone | 936-372-2673
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Fax |
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Provider Business Mailing Address
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Address Line | 19472 TAHOKA SPRINGS DR
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City | KATY
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State | TX
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Zip | 77449-5299
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Country | US
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Telephone | 281-723-0907
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number | 35773
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1179135
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License Number State | TX
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