Organization
SANDRA A ESQUIVEL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA FONSECA (OFFICE MANAGER)
(956) 447-2668
Entity
Organization
Contact information
Practice address
1330 E 6TH ST STE 201, WESLACO, TX 78596-6608
(956) 447-2668
(956) 973-0960
Mailing address
1330 E 6TH ST STE 201, WESLACO, TX 78596-6608
(956) 447-2668
(956) 973-0960
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J1991
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053320713
NPI
TX
05
—
97127702
—
TX
Enumeration date
09/20/2012
Last updated
12/27/2012
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