Provider Demographics
NPI:1225485451
Name:ESQUIBEL, DIANE
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:ESQUIBEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6405 BOWMAN CIR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-9025
Mailing Address - Country:US
Mailing Address - Phone:432-247-5002
Mailing Address - Fax:432-247-5636
Practice Address - Street 1:6405 BOWMAN CIR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-9025
Practice Address - Country:US
Practice Address - Phone:432-247-5002
Practice Address - Fax:432-247-5636
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health