Organization
ESCOBEDO DME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPHAT ESCOBEDO RPH (PRESIDENT)
(956) 504-6762
Entity
Organization
Contact information
Practice address
4430 E 14TH ST STE E, BROWNSVILLE, TX 78521-3240
(956) 504-6762
Mailing address
1205 SANTA ANA AVE, RANCHO VIEJO, TX 78575-9755
(956) 350-5185
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202357401
MEDICAID CCP
TX
05
—
202357402
—
TX
Enumeration date
01/24/2008
Last updated
02/02/2024
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