Provider Demographics
NPI:1225272453
Name:ESQUIVEL-VANEGAS, GERMAN ROMAN (MD)
Entity Type:Individual
Prefix:
First Name:GERMAN
Middle Name:ROMAN
Last Name:ESQUIVEL-VANEGAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 W TRENTON RD
Mailing Address - Street 2:ATTN: PRACTICE ADMINISTRATOR-HOSPITALIST
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3413
Mailing Address - Country:US
Mailing Address - Phone:956-289-2207
Mailing Address - Fax:956-289-5040
Practice Address - Street 1:1102 W TRENTON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9105
Practice Address - Country:US
Practice Address - Phone:956-213-5111
Practice Address - Fax:956-289-5040
Is Sole Proprietor?:No
Enumeration Date:2009-05-01
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP1860207Q00000X, 208M00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DJ936OtherBCBS TX
TX309402101Medicaid
TX8DJ936OtherBCBS TX