Emiliano Jose Escalante, LVN

Individual provider Active NPI Licensed Vocational Nurse · Poteet, TX

NPI 1194351825 · NPPES record last updated Mar 13, 2020

Key facts

NPI
1194351825
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
352400 (TX)
Practice address
9745 N Hwy 16
Poteet, TX 78065
Phone
(830) 200-6671
NPI assigned
Mar 13, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
352400TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 352400 TX Yes

Addresses

Primary practice location

9745 N Hwy 16
Poteet, TX 78065

Mailing address

PO Box 985
Jourdanton, TX 78026-0985
Phone (830) 200-6671

Other providers in Poteet, TX

All providers in Poteet, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.