Individual
BEVERLY ESCALONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1415 CALIFORNIA ST, HOUSTON, TX 77006
(832) 548-5000
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
(832) 548-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20374
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20374
STATE PROFESSIONAL LICENSING BOARD
TX
Enumeration date
05/31/2007
Last updated
08/15/2018
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