Provider Demographics
NPI:1134545387
Name:ESCOBAR, LILIA MUNIZ (PA-C)
Entity type:Individual
Prefix:MRS
First Name:LILIA
Middle Name:MUNIZ
Last Name:ESCOBAR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E HACKBERRY ST
Mailing Address - Street 2:
Mailing Address - City:ROMA
Mailing Address - State:TX
Mailing Address - Zip Code:78584-8162
Mailing Address - Country:US
Mailing Address - Phone:956-844-7476
Mailing Address - Fax:
Practice Address - Street 1:201 N FM 3167
Practice Address - Street 2:109
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-6724
Practice Address - Country:US
Practice Address - Phone:956-844-7476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-12
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA08878363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant