Individual
FABIAN ESPINOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2710 HOSPITAL DR, 200, VICTORIA, TX 77901-5701
(361) 574-1820
(361) 574-1821
Mailing address
2710 HOSPITAL DR, 200, VICTORIA, TX 77901-5701
(361) 574-1820
(361) 574-1821
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K5921
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101789902
—
TX
01
—
85351G
BLUE CROSS
TX
Enumeration date
07/20/2006
Last updated
06/16/2014
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