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Organization
PEDRO E. ESTORQUE JR., M.D., P.A.
Active
Organization
PEDRO E. ESTORQUE JR., M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO ESMERALDA ESTORQUE JR. M.D. (OWNER)
(940) 320-0505
Entity
Organization
Contact information
Practice address
2625 SCRIPTURE ST, SUITE 103, DENTON, TX 76201-2301
(940) 320-0505
(940) 320-0506
Mailing address
2625 SCRIPTURE ST, SUITE 103, DENTON, TX 76201-2301
(940) 320-0505
(940) 320-0506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J9017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104386104
—
TX
05
—
175614001
—
TX
Enumeration date
02/02/2007
Last updated
04/04/2016
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