Individual
LENA NICOLE ESCOBEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
13656 TEAGUE LN, #7, CORPUS CHRISTI, TX 78410-5207
(512) 981-7090
Mailing address
PO BOX 1264, CEDAR PARK, TX 78630-1264
(512) 981-7090
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
CERT NO 3649
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3649
CERTIFICATION
TX
Enumeration date
02/25/2011
Last updated
03/28/2013
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