Provider Demographics
NPI:1003434820
Name:ESCOBAR, FRANCISCO ANDRES (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:ANDRES
Last Name:ESCOBAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 STALLION WAY
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79922-2329
Mailing Address - Country:US
Mailing Address - Phone:915-929-0895
Mailing Address - Fax:
Practice Address - Street 1:2200 N YARDBROUGH DR
Practice Address - Street 2:SUITE N
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925
Practice Address - Country:US
Practice Address - Phone:915-591-9999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX361401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice