Provider Demographics
NPI:1619636198
Name:ESCOBAR, BETZA
Entity Type:Individual
Prefix:
First Name:BETZA
Middle Name:
Last Name:ESCOBAR
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 1:11111 MIDHURST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-1929
Mailing Address - Country:US
Mailing Address - Phone:281-925-8913
Mailing Address - Fax:832-849-0937
Practice Address - Street 1:11111 MIDHURST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-1929
Practice Address - Country:US
Practice Address - Phone:281-925-8913
Practice Address - Fax:832-849-0937
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-13
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty