Individual
MR. ANGEL ESCOBEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-4770
Mailing address
386 COUNTY ROAD 3886, QUEEN CITY, TX 75572-4937
(805) 479-1282
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
950017
TX
Other
Enumeration date
04/19/2020
Last updated
04/19/2020
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