MEDICARE: DR. ANNETTE ESCOBEDO 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	207Q00000X	Family Medicine Physician	U3833	TX

General Provider Information

NPI Number	:	1477181196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNETTE ESCOBEDO MD

Provider Business Mailing Address
First Line	:	300 S ZARAGOZA RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79907-6635
Country	:	US
Telephone Number	:	915-790-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 S ZARAGOZA RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79907-6635
Country	:	US
Telephone Number	:	915-790-5700
Fax Number	:

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

Provider Enumeration Date	:	03/29/2020
Last Update Date	:	12/06/2025

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