Individual
GONZALO ESCOBEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
9143 RIDGE POST, SAN ANTONIO, TX 78250-3821
(210) 792-6003
Mailing address
9143 RIDGE POST, SAN ANTONIO, TX 78250-3821
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
092595
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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