Individual
DR. GERARDO ESCOBEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10100 LOOP 40 WEST, MIDLAND, TX 79706
(432) 617-0181
(432) 563-0656
Mailing address
PO BOX 61880, MIDLAND, TX 79711-1880
(432) 617-0181
(432) 563-0656
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
02002829
IN
207W00000X
Ophthalmology Physician
036113187
IL
207W00000X
Ophthalmology Physician
Primary
L4925
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157744702
—
TX
05
—
200498170
—
IN
05
—
64092257
—
KY
Enumeration date
09/19/2005
Last updated
02/10/2017
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