Provider Demographics
NPI:1356988422
Name:ESQUIVEL, PABLO JR
Entity type:Individual
Prefix:
First Name:PABLO
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 1:210 S SEVEN POINTS DR
Mailing Address - Street 2:
Mailing Address - City:SEVEN POINTS
Mailing Address - State:TX
Mailing Address - Zip Code:75143-2000
Mailing Address - Country:US
Mailing Address - Phone:903-432-2516
Mailing Address - Fax:903-432-3972
Practice Address - Street 1:210 S SEVEN POINTS DR
Practice Address - Street 2:
Practice Address - City:SEVEN POINTS
Practice Address - State:TX
Practice Address - Zip Code:75143-2000
Practice Address - Country:US
Practice Address - Phone:903-432-2516
Practice Address - Fax:903-432-3972
Is Sole Proprietor?:No
Enumeration Date:2019-12-07
Last Update Date:2019-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38057183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist