Provider Demographics
NPI:1275218984
Name:ESTEBANE, DORIAN FRANCISCO (DC)
Entity Type:Individual
Prefix:DR
First Name:DORIAN
Middle Name:FRANCISCO
Last Name:ESTEBANE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21571 PLUM GRV
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-2074
Mailing Address - Country:US
Mailing Address - Phone:405-414-7041
Mailing Address - Fax:
Practice Address - Street 1:820 NW 13TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-6898
Practice Address - Country:US
Practice Address - Phone:405-943-0303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program