Provider Demographics
NPI:1497060206
Name:ESCOBEDO, CLAUDIA
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:ESCOBEDO
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 1:920 W NOLANA LOOP
Mailing Address - Street 2:STE B
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-7875
Mailing Address - Country:US
Mailing Address - Phone:956-283-1982
Mailing Address - Fax:956-283-9046
Practice Address - Street 1:920 W NOLANA LOOP
Practice Address - Street 2:STE B
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-7875
Practice Address - Country:US
Practice Address - Phone:956-283-1982
Practice Address - Fax:956-283-9046
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies