Provider Demographics
NPI:1952526626
Name:ANTONIO ESPARZA, M.D., P.A.
Entity Type:Organization
Organization Name:ANTONIO ESPARZA, M.D., P.A.
Other - Org Name:BABIES AND CHILDREN'S CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPARZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-783-1000
Mailing Address - Street 1:900 W SAM HOUSTON
Mailing Address - Street 2:SUITE1
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-5217
Mailing Address - Country:US
Mailing Address - Phone:956-783-1000
Mailing Address - Fax:956-783-9679
Practice Address - Street 1:900 W SAM HOUSTON
Practice Address - Street 2:SUITE1
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-5217
Practice Address - Country:US
Practice Address - Phone:956-783-1000
Practice Address - Fax:956-783-9679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7411208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080557402Medicaid
TX84350SOtherBLUE CROSS BLUE SHILED
TX808557401Medicaid
TX112708OtherSUPERIOR HEALTHPLAN
TXE48597Medicare UPIN
TX112708OtherSUPERIOR HEALTHPLAN