# JOSE A ESCANDON MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942697974
- **Authorized official:** DR. JOSE A ESCANDON MD (OWNER)
- **Authorized official phone:** (956) 519-9333

## Contact information

- **Practice address:** 1300 S BRYAN RD STE 100, MISSION, TX 78572-6688
- **Practice address phone:** (956) 519-9333
- **Practice address fax:** (956) 519-9353
- **Mailing address:** 1300 S. BRYAN RD STE 100/100 A, MISSION, TX 78572-6626
- **Mailing address phone:** (956) 519-9333
- **Mailing address fax:** (956) 519-9353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | P1994 | TX | Yes |

## Other

- **Enumeration date:** 04/16/2015
- **Last updated:** 01/02/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 388909901 | — | TX |