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NPI Code Detail

MEDICARE: MR. ABEL AZIZ ESCAMILLA PT

MEDICARE: MR. ABEL AZIZ ESCAMILLA PT
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
1225200000XPhysical Therapy Assistant2154896TX

General Provider Information

NPI Number : 1821604786
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ABEL AZIZ ESCAMILLA PT
Provider Business Mailing Address
First Line : 8050 OAKDELL WAY APT 908
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-3914
Country : US
Telephone Number : 830-719-9855
Fax Number :
Provider Business Practice Location Address
First Line : 16400 BLANCO RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-1902
Country : US
Telephone Number : 210-572-4954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2020
Last Update Date : 09/16/2020

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