MEDICARE: FABIOLA ESCOBAR NP

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	363LA2200X	Adult Health Nurse Practitioner	AP126770	TX

General Provider Information

NPI Number	:	1518350461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FABIOLA ESCOBAR NP

Provider Business Mailing Address
First Line	:	1924 FOREST RIDGE DR STE B
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76021-8228
Country	:	US
Telephone Number	:	817-354-2680
Fax Number	:	817-510-5927

Provider Business Practice Location Address
First Line	:	1924 FOREST RIDGE DR STE B
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76021-8228
Country	:	US
Telephone Number	:	817-354-2680
Fax Number	:	817-510-5927

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

Provider Enumeration Date	:	03/16/2015
Last Update Date	:	09/25/2025

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