MEDICARE: DR. EDWIN ESCOBAR MD

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	207R00000X	Internal Medicine Physician	J1085	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346281557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWIN ESCOBAR MD

Provider Business Mailing Address
First Line	:	3010 LYNDON B JOHNSON FWY FL 1200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-2710
Country	:	US
Telephone Number	:	214-716-7236
Fax Number	:	214-716-7236

Provider Business Practice Location Address
First Line	:	3535 N BUCKNER BLVD STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-5633
Country	:	US
Telephone Number	:	214-660-1011
Fax Number	:	214-716-7236

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	09/22/2025

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