Provider Demographics
NPI:1417344953
Name:ESCOBEDO, FAUSTO M (MD)
Entity Type:Individual
Prefix:
First Name:FAUSTO
Middle Name:M
Last Name:ESCOBEDO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4700 MILLENIA BLVD STE 650
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-6013
Mailing Address - Country:US
Mailing Address - Phone:407-533-6836
Mailing Address - Fax:407-232-9316
Practice Address - Street 1:801 N ED CAREY DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7919
Practice Address - Country:US
Practice Address - Phone:956-271-0136
Practice Address - Fax:855-618-2272
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2023-10-03
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Provider Licenses
StateLicense IDTaxonomies
TXR5111207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine