Individual
EDWARD J ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6400 FANNIN ST STE 2800, HOUSTON, TX 77030-1534
(713) 704-7100
(713) 704-1262
Mailing address
6400 FANNIN ST STE 2070, HOUSTON, TX 77030-1541
(713) 704-6731
(713) 704-6889
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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