Individual
IRENE ESPARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7109 N BARTLETT AVE STE 109, LAREDO, TX 78041-6473
(956) 727-2122
(956) 727-4445
Mailing address
7109 N BARTLETT AVE STE 109, LAREDO, TX 78041-6473
(956) 727-2122
(956) 727-4445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05803
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCCPA 1082641
NATIONAL COMMISSION OF CERTIFICATION OF PHYSICIAN ASSISTANTS
TX
01
—
PA05803
TEXAS STATE LICENSE
TX
Enumeration date
08/18/2008
Last updated
09/07/2020
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