Individual
JOSE ESCOBEDO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5221 N 10TH ST SUITE 205, MCALLEN, TX 78504
(956) 457-2919
Mailing address
515 MOORE RD, ALAMO, TX 78516
(956) 457-2919
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
C46789
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C46789
—
TX
Enumeration date
09/28/2018
Last updated
10/04/2019
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