Individual
CLAIRE ELLEN ESCAMILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
202 S FM 1346 STE 2, LA VERNIA, TX 78121-4282
(830) 779-3200
(830) 779-3211
Mailing address
113 VILLAGE CIR, SAN ANTONIO, TX 78232-2821
(210) 843-4649
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
K3563
TX
207P00000X
Emergency Medicine Physician
Primary
MD2019-0842
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030903101
—
TX
01
—
355698YLIT
MEDICARE PTAN
TX
01
—
8DW811
BCBSTX
TX
01
—
8N2664
BCBS
TX
Enumeration date
11/09/2005
Last updated
11/11/2019
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