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Organization

PABLO R. DIAZ-ESQUIVEL MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
C. SCOTT MADDOX (ADMINISTRATOR)
(806) 355-9257
Entity
Organization

Contact information

Practice address
1600 COULTER, BUILDING E SUITE 703, AMARILLO, TX 79106
(806) 355-9257
(806) 353-9871
Mailing address
P.O. BOX 2485, AMARILLO, TX 79105
(806) 355-9257
(806) 353-9871

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F5186
TX
207V00000X
Obstetrics & Gynecology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00JP43
BCBS
TX
05
034235401
TX
01
45D1001542
CLIA
TX
Enumeration date
08/07/2006
Last updated
05/14/2009
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