Provider Demographics
NPI:1154327344
Name:ESPARZA, FELIPE HEBERTO (DDS)
Entity Type:Individual
Prefix:DR
First Name:FELIPE
Middle Name:HEBERTO
Last Name:ESPARZA
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 1:1320 E LANE ST
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-7211
Mailing Address - Country:US
Mailing Address - Phone:956-724-2712
Mailing Address - Fax:
Practice Address - Street 1:1318 E LANE ST
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-7211
Practice Address - Country:US
Practice Address - Phone:956-724-2712
Practice Address - Fax:956-724-2714
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116471223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry