Active NPI
Liliana Espinoza, PA
- Physician Assistant
- Desoto, TX
National Provider Identifier
1467647669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA05360
- Practice address
- 951 York Dr Ste 102
Desoto, TX 75115-2052 - Phone
- (972) 296-5557
- Fax
- (972) 296-5592
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA05360 | TX | Primary |
Addresses
Primary practice location
951 York Dr Ste 102
Desoto, TX 75115-2052
Mailing address
951 York Dr Ste 102
Desoto, TX 75115-2052
Phone (972) 296-5557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA05360 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians and Allied Health Professionals Group, PA | Past | Accepting new patients | |
| Dcoa Physicians PA | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1467647669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 YORK DR STE 102",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152052",
"telephone_number": "972-296-5557",
"fax_number": "972-296-5592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 YORK DR STE 102",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152052",
"telephone_number": "972-296-5557",
"fax_number": "972-296-5592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINOZA",
"first_name": "LILIANA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA05360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Desoto, TX
- Enhanced Senior Living, LLC
- Entirety Home Health LLC
- Evelyne N Epie, APRN, FNP-BC, WCS-C
- Nanci N Escobar, MA
- Emeritiana Eshiebor
- Essential Care Diagnostic Services, LLC
- Euphoria Anesthesia PLLC
- Excel Family Medicine & Pediatrics Clinic, Inc
- Excellent Phlebotomy Lab Services LLC
- Excellent Surgical Assist Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.