Provider Demographics
NPI:1881151892
Name:ESCOBAR, ALINA
Entity type:Individual
Prefix:MRS
First Name:ALINA
Middle Name:
Last Name:ESCOBAR
Suffix:
Gender:F
Credentials:
Other - Prefix:MR
Other - First Name:FERNANDO
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:13237 WALKER POST AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79928-2510
Mailing Address - Country:US
Mailing Address - Phone:915-328-7063
Mailing Address - Fax:
Practice Address - Street 1:13237 WALKER POST AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79928-2510
Practice Address - Country:US
Practice Address - Phone:915-328-7063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX883275163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health