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General NPI Number Information
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NPI Number | 1760472682
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Entity Type | Individual
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Provider Name | LOUIS HECTOR ESQUIVEL MD
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Gender | Male
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Dates
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Enumeration Date | 10/22/2005
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Last Update Date | 07/21/2014
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Provider Practice Location Address
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Address Line | 3740 COLONY DR SUITE LL102
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City | SAN ANTONIO
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State | TX
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Zip | 78230-2234
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Country | US
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Telephone | 210-745-0918
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Fax | 210-745-0590
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Provider Business Mailing Address
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Address Line | 3740 COLONY DR SUITE LL102
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City | SAN ANTONIO
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State | TX
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Zip | 78230-2234
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Country | US
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Telephone | 210-745-0918
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Fax | 210-745-0590
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H2363
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License Number State | TX
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