Individual
JAVIER PONCE ESCALERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
3625 MANCHACA RD, SUITE 202, AUSTIN, TX 78704-6631
(512) 557-0947
Mailing address
583 YORKS XING, DRIFTWOOD, TX 78619-5759
(512) 722-3285
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A95344
CA
2084P0800X
Psychiatry Physician
Primary
M7169
TX
Other
Enumeration date
05/17/2007
Last updated
05/15/2008
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