Organization Name: | ESGUERRA MEDICAL PRACTICE, INC. |
NPI Number: | 1720256068 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL R ESGUERRA (OWNER) |
Mailing Address: | 2125 E State Highway 54 Linton |
State: | IN US |
Postal Code: | 474419407 |
Phone Number: | 8128478711 |
Fax Number: | 8128478793 |
NPI Enumeration Date: | 02/20/2008 |
NPI Last Update Date: | 02/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0000X |
License Number: | 01039089 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |