Individual
EDWARD J ESCOBAR
Active
Individual
EDWARD J ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
J6423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035TD
BCBSTX GRP PROV REC #
TX
01
—
00659N
MDCR GRP PTAN MONTGOMERY CO
TX
05
—
134275007
—
TX
01
—
153449706
MDCD GRP TPI MONTGOMERY COUNTY
TX
01
—
DB6392
RR MDCR GRP PTAN
TX
Enumeration date
11/10/2005
Last updated
05/04/2016
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