Individual
MIGUEL A ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, 500, HOUSTON, TX 77030-3000
(832) 325-7111
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500
(713) 512-2227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L5325
TX
207RH0000X
Hematology (Internal Medicine) Physician
Primary
L5325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153432301
—
TX
01
—
8G7490
BCBS
TX
Enumeration date
07/17/2006
Last updated
08/03/2016
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