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Individual
DR. AGATON HOLAZO ESCALANTE
Active
Individual
DR. AGATON HOLAZO ESCALANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0017679
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0163901
UNITED HEALTHCARE
—
01
—
041673
US HEALTHCARE
—
01
—
110011897
MEDICARE RAILROAD
MD
01
—
31060005
BCBS
MD
05
—
398861901
—
MD
01
—
660461156
AETNA
—
Enumeration date
11/20/2006
Last updated
01/09/2023
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