Organization Active NPI

Escobar-Davis Medical Management PLLC

  • Medical Physician Assistant
  • Spring, TX
National Provider Identifier
1851642482
Registry record updated Sep 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01488 Issued in TX
Legal business name
ESCOBAR-DAVIS MEDICAL MANAGEMENT PLLC
Practice address
4003 Alshire Dr
Spring, TX 77373-8811
Phone
(832) 526-5578
NPI assigned
Sep 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2012

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

Authorized official

Name
Ms. Veronica Escobar, MA
Title
Manager/Practice Administrator
Phone
(832) 517-6032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X PA01488 TX Primary

Addresses

Primary practice location

4003 Alshire Dr
Spring, TX 77373-8811

Mailing address

4003 Alshire Dr
Spring, TX 77373-8811

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348272000000",
    "number": "1851642482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 ALSHIRE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773738811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 ALSHIRE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773738811",
            "telephone_number": "832-526-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCOBAR-DAVIS MEDICAL MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-22",
        "last_updated": "2012-09-22",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "MANAGER/PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "832-517-6032",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2012; 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.