MEDICARE: ASHLEY B ESCUE M.D.

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	174400000X	Specialist	37639	TN
2	2080P0201X	Pediatric Allergy/Immunology Physician	37639	TN

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

General Provider Information

NPI Number	:	1750380051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY B ESCUE M.D.

Provider Business Mailing Address
First Line	:	850 POPLAR AVE BLDG 2
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38105-4607
Country	:	US
Telephone Number	:	901-287-7337
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 N DUNLAP ST STE 400
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38105-4625
Country	:	US
Telephone Number	:	901-287-7337
Fax Number	:	901-266-6488

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	09/30/2020

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Directions to “ ASHLEY B ESCUE M.D.” Practice Location

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