Provider Demographics
NPI:1700530482
Name:CARE DE LUXE
Entity Type:Organization
Organization Name:CARE DE LUXE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, OWNER, NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ESCOBEDO
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, FNP-BC
Authorized Official - Phone:737-262-3374
Mailing Address - Street 1:806 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-1013
Mailing Address - Country:US
Mailing Address - Phone:512-914-2738
Mailing Address - Fax:
Practice Address - Street 1:1033 LA POSADA DR # 210-10
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-3842
Practice Address - Country:US
Practice Address - Phone:737-262-3374
Practice Address - Fax:949-437-3523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care