Provider Demographics
NPI:1477833689
Name:ESQUIVEL, ALEJANDRO JR
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:
Last Name:ESQUIVEL
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 COYUNDA
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-6512
Mailing Address - Country:US
Mailing Address - Phone:830-968-3907
Mailing Address - Fax:
Practice Address - Street 1:1715 COYUNDA
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-6512
Practice Address - Country:US
Practice Address - Phone:830-968-3907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX265181223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry