Individual
DR. ANTHONY ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MBA, BA
Contact information
Practice address
15004 AVERY RANCH BLVD STE 100, AUSTIN, TX 78717-4600
(512) 246-7645
Mailing address
4606 E VILLAGE CT, AUSTIN, TX 78744-3815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1530
WY
1223G0001X
General Practice Dentistry
Primary
36862
TX
Other
Enumeration date
06/24/2019
Last updated
11/24/2020
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