MEDICARE: VERONICA ANN ESCOBAR DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	M1659	TX
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	M1659	TX
3	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	M1659	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093882466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA ANN ESCOBAR DO

Provider Business Mailing Address
First Line	:	7622 LOUIS PASTEUR DR STE 201
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4019
Country	:	US
Telephone Number	:	210-610-3859
Fax Number	:	210-641-2277

Provider Business Practice Location Address
First Line	:	7622 LOUIS PASTEUR DR STE 201
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4019
Country	:	US
Telephone Number	:	210-610-3859
Fax Number	:	210-641-2277

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	10/27/2023

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Directions to “ VERONICA ANN ESCOBAR DO” Practice Location

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