Organization
KENDALL NICOLE ESCOBAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL NICOLE ESCOBAR CSFA (CERTIFIED SURGICAL FIRST ASSIST)
(210) 997-2491
Entity
Organization
Contact information
Practice address
170 TERRY LN, LYTLE, TX 78052-3829
(210) 997-2491
(830) 772-5611
Mailing address
170 TERRY LN, LYTLE, TX 78052-3829
(210) 997-2491
(830) 772-5611
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
137889
TX
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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