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NPI Code Detail

MEDICARE: MRS. ESMERALDA YAZMIN ESCOBEDO OTA

MEDICARE:  MRS. ESMERALDA YAZMIN ESCOBEDO  OTA
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
1224Z00000XOccupational Therapy Assistant216556TX

General Provider Information

NPI Number : 1437745320
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ESMERALDA YAZMIN ESCOBEDO OTA
Provider Business Mailing Address
First Line : 7331 EDEN CROSSING LN
Second Line :
City : RICHMOND
State : TX
Zip : 77407-1574
Country : US
Telephone Number : 713-732-4378
Fax Number :
Provider Business Practice Location Address
First Line : 7331 EDEN CROSSING LN
Second Line :
City : RICHMOND
State : TX
Zip : 77407-1574
Country : US
Telephone Number : 713-732-4378
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2020
Last Update Date : 12/15/2020

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Directions to “ MRS. ESMERALDA YAZMIN ESCOBEDO OTA” Practice Location

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