Provider Demographics
NPI:1457516460
Name:ESQUIVEL, JAIME (MD)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:ESQUIVEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:517 SW MILITARY DR STE A
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1639
Mailing Address - Country:US
Mailing Address - Phone:210-921-0322
Mailing Address - Fax:210-921-1451
Practice Address - Street 1:517 SW MILITARY DR STE A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1639
Practice Address - Country:US
Practice Address - Phone:210-921-0322
Practice Address - Fax:210-921-1451
Is Sole Proprietor?:No
Enumeration Date:2008-07-20
Last Update Date:2023-08-04
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Provider Licenses
StateLicense IDTaxonomies
TXN0006207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1962045-03OtherWELLMED MEDICAID
TX8L24573OtherWELLMED MEDICARE