Jose A Escandon Md Pa | |
1300 S Bryan Rd Ste 100 Mission TX 78572-6688 | |
(956) 519-9333 | |
(956) 519-9353 |
Full Name | Jose A Escandon Md Pa |
---|---|
Speciality | General Practice |
Location | 1300 S Bryan Rd Ste 100, Mission, Texas |
Authorized Official Name and Position | Jose A Escandon (OWNER) |
Authorized Official Contact | 9565199333 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jose A Escandon Md Pa 1300 S. Bryan Rd Ste 100/100 A Mission TX 78572-6626 Ph: (956) 519-9333 | Jose A Escandon Md Pa 1300 S Bryan Rd Ste 100 Mission TX 78572-6688 Ph: (956) 519-9333 |
NPI Number | 1942697974 |
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Provider Enumeration Date | 04/16/2015 |
Last Update Date | 01/02/2024 |
Medicare PECOS PAC ID | 4082935804 |
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Medicare Enrollment ID | O20150605000363 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942697974 | NPI | - | NPPES |
388909901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | P1994 (Texas) | Primary |
Provider Name | Jose Escandon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316184302 PECOS PAC ID: 9032366158 Enrollment ID: I20120824000419 |
Provider Name | Betty Reyes-restrepo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043649155 PECOS PAC ID: 6608092374 Enrollment ID: I20171122000210 |
Provider Name | Robert Daniel Soliz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619434792 PECOS PAC ID: 7911239991 Enrollment ID: I20191023003443 |
Provider Name | Kristin Leigh York |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538620158 PECOS PAC ID: 8921330648 Enrollment ID: I20191030002026 |
Provider Name | Juan Joya Gomez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538877345 PECOS PAC ID: 8921476789 Enrollment ID: I20221129000690 |
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