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NPI Code Detail

MEDICARE: NATHALIE ESCOBAR

MEDICARE: NATHALIE ESCOBAR
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
1163W00000XRegistered Nurse946222TX

General Provider Information

NPI Number : 1588140933
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHALIE ESCOBAR
Provider Business Mailing Address
First Line : 4039 MISSION VALLEY DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-3753
Country : US
Telephone Number : 239-687-9762
Fax Number :
Provider Business Practice Location Address
First Line : 4039 MISSION VALLEY DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-3753
Country : US
Telephone Number : 239-687-9762
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2018
Last Update Date : 07/18/2018

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Directions to “ NATHALIE ESCOBAR ” Practice Location

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