| Organization Name: | JOSE A ESCANDON MD PA |
| NPI Number: | 1942697974 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE A ESCANDON (DOCTOR) |
| Mailing Address: | 1300 S. Bryan Rd Ste 100/100 A Mission |
| State: | TX US |
| Postal Code: | 785726626 |
| Phone Number: | 9565199333 |
| Fax Number: | 9565199353 |
| NPI Enumeration Date: | 04/16/2015 |
| NPI Last Update Date: | 04/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | P1994 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |