MEDICARE: JOHANNA A ESCOBAR MS

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	235Z00000X	Speech-Language Pathologist	114861	TX
2	2355S0801X	Speech-Language Assistant	2350	FL

General Provider Information

NPI Number	:	1124432448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHANNA A ESCOBAR MS

Provider Business Mailing Address
First Line	:	6819 HIGHWAY BLVD STE 620
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-1088
Country	:	US
Telephone Number	:	346-299-1299
Fax Number	:	346-299-1958

Provider Business Practice Location Address
First Line	:	9900 WESTPARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063
Country	:	US
Telephone Number	:	171-352-8303
Fax Number	:

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

Provider Enumeration Date	:	06/13/2014
Last Update Date	:	02/16/2026

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Directions to “ JOHANNA A ESCOBAR MS” Practice Location

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