Provider Demographics
NPI:1033682398
Name:ESCALANTE-COX, FATIMA CRISEYDA (NP-C)
Entity Type:Individual
Prefix:
First Name:FATIMA
Middle Name:CRISEYDA
Last Name:ESCALANTE-COX
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20185 US HIGHWAY 59 STE 72
Mailing Address - Street 2:
Mailing Address - City:NEW CANEY
Mailing Address - State:TX
Mailing Address - Zip Code:77357-8359
Mailing Address - Country:US
Mailing Address - Phone:713-294-6291
Mailing Address - Fax:
Practice Address - Street 1:20185 US HIGHWAY 59 STE 72
Practice Address - Street 2:
Practice Address - City:NEW CANEY
Practice Address - State:TX
Practice Address - Zip Code:77357-8359
Practice Address - Country:US
Practice Address - Phone:713-294-6291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-09
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139931363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily