| Escobar Clinic | |
|
105 E Hackberry St Pearsall TX 78061-4412 | |
| (830) 334-4016 | |
| (830) 334-4055 |
| Full Name | Escobar Clinic |
|---|---|
| Speciality | General Practice |
| Location | 105 E Hackberry St, Pearsall, Texas |
| Authorized Official Name and Position | Tariq Mahmood (CEO) |
| Authorized Official Contact | 8303344016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Escobar Clinic 105 Hackberry Street Pearsall TX 78061-4412 Ph: (830) 334-4016 | Escobar Clinic 105 E Hackberry St Pearsall TX 78061-4412 Ph: (830) 334-4016 |
| NPI Number | 1063681286 |
|---|---|
| Provider Enumeration Date | 02/21/2008 |
| Last Update Date | 03/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063681286 | NPI | - | NPPES |
| 063446101 | Medicaid | TX | |
| 45-8880 | Other | TX | MEDICARE CCN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | F5197 (Texas) | Primary |
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