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NPI Code Detail

MEDICARE: PABLO ESTRADA

MEDICARE: PABLO ESTRADA
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
1101YP2500XProfessional Counselor15463TX

General Provider Information

NPI Number : 1841716420
Entity Type Code : Individual
Provider Name (Legal Business Name) : PABLO ESTRADA
Provider Business Mailing Address
First Line : 15800 SEAGOVILLE ROAD
Second Line :
City : DALLAS
State : TX
Zip : 75253
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15800 SEAGOVILLE RD
Second Line :
City : DALLAS
State : TX
Zip : 75253-5703
Country : US
Telephone Number : 972-892-7180
Fax Number : 214-932-7519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2017
Last Update Date : 08/16/2017

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Directions to “ PABLO ESTRADA ” Practice Location

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