Provider Demographics
NPI:1093499147
Name:ESCARENO, FAUSTINO III
Entity Type:Individual
Prefix:MR
First Name:FAUSTINO
Middle Name:
Last Name:ESCARENO
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4147 PALMER MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2342
Mailing Address - Country:US
Mailing Address - Phone:832-920-0928
Mailing Address - Fax:
Practice Address - Street 1:4147 PALMER MEADOW CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2342
Practice Address - Country:US
Practice Address - Phone:832-920-0928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant