1790836005 NPI number — MRS. BERENICE MAGALLY ESCOBEDO LBSW

Table of content: MRS. BERENICE MAGALLY ESCOBEDO LBSW (NPI 1790836005)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790836005 NPI number — MRS. BERENICE MAGALLY ESCOBEDO LBSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ESCOBEDO
Provider First Name:
BERENICE
Provider Middle Name:
MAGALLY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LBSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790836005
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15111 SPRING GLN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78247-5403
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-568-0436
Provider Business Mailing Address Fax Number:
210-745-2229

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9006 SAINT JULIEN CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78240-3538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-682-6530
Provider Business Practice Location Address Fax Number:
210-682-3530
Provider Enumeration Date:
01/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X , with the licence number:  36621 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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