Pedro E. Estorque Jr., M.D., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J9017 Issued in TX

Legal business name

PEDRO E. ESTORQUE JR., M.D., P.A.

Practice address

2625 Scripture St
Suite 103
Denton, TX 76201-2301

Phone

(940) 320-0505

Fax

(940) 320-0506

NPI assigned

Feb 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pedro Esmeralda Estorque Jr., M.D.

Title

Owner

Phone

(940) 320-0505

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1467590141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 SCRIPTURE ST",
            "address_2": "SUITE 103",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012301",
            "telephone_number": "940-320-0505",
            "fax_number": "940-320-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 SCRIPTURE ST",
            "address_2": "SUITE 103",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012301",
            "telephone_number": "940-320-0505",
            "fax_number": "940-320-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO E. ESTORQUE JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "ESTORQUE",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "ESMERALDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-320-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104386104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175614001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dentistry of Denton PLLC
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• Pediatric Urgent Care of Denton, LP
• Mark David Pedigo, PA-C
• Leon Ashley Peek, PH.D.
• Michele Pellar, DPT
• Cynthia Pelzel, R.N.
• Ashley Pena, RD, LD, CNSC
• Danielle Lee Pena

• Family Medicine Physician in Denton, TX
• Providers in Denton, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.