Provider Demographics
NPI:1225002843
Name:POLLARD, ESTER BERNICE (MD)
Entity Type:Individual
Prefix:
First Name:ESTER
Middle Name:BERNICE
Last Name:POLLARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 BOOTY ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2104
Mailing Address - Country:US
Mailing Address - Phone:361-882-4101
Mailing Address - Fax:361-882-4408
Practice Address - Street 1:712 BOOTY ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2104
Practice Address - Country:US
Practice Address - Phone:361-882-4101
Practice Address - Fax:361-882-4408
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6050207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080246401Medicaid
TX00261KMedicare ID - Type Unspecified
TX080246401Medicaid