Provider Demographics
NPI:1871684431
Name:ESCAJEDA, DAVID J JR (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:J
Last Name:ESCAJEDA
Suffix:JR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 848491
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-8491
Mailing Address - Country:US
Mailing Address - Phone:254-202-9330
Mailing Address - Fax:254-202-9349
Practice Address - Street 1:140 HILLCREST MEDICAL BLVD STE 2
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-8897
Practice Address - Country:US
Practice Address - Phone:254-741-1400
Practice Address - Fax:254-741-1428
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2023-10-17
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Provider Licenses
StateLicense IDTaxonomies
TXPA 04663363A00000X
TXPA04663363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q60884Medicare UPIN