| Diana Escobedo Md Pa | |
|
494 N Kenazo Ave Ste I Horizon City TX 79928-5421 | |
| (915) 845-7300 | |
| (915) 201-4379 |
| Full Name | Diana Escobedo Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 494 N Kenazo Ave Ste I, Horizon City, Texas |
| Authorized Official Name and Position | Diana Escobedo (MD) |
| Authorized Official Contact | 5754155668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Escobedo Md Pa 494 N Kenazo Ave Horizon City TX 79928-5419 Ph: (915) 845-7300 | Diana Escobedo Md Pa 494 N Kenazo Ave Ste I Horizon City TX 79928-5421 Ph: (915) 845-7300 |
| NPI Number | 1831757889 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 02/22/2022 |
| Medicare PECOS PAC ID | 3870925365 |
|---|---|
| Medicare Enrollment ID | O20191121002754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831757889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Diana Escobedo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104278795 PECOS PAC ID: 8325470818 Enrollment ID: I20191121002737 |
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