Provider Demographics
NPI:1225895170
Name:ESPINOSA, PAUL XAVIER (PT, DPT)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:XAVIER
Last Name:ESPINOSA
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2734 OLD FORT RD
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1778
Mailing Address - Country:US
Mailing Address - Phone:281-908-1155
Mailing Address - Fax:
Practice Address - Street 1:525 AUTO CENTER DR
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-3745
Practice Address - Country:US
Practice Address - Phone:831-724-7505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1310395225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist