Provider Information for 1972124824
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MARINA ELIA ESCOBAR LPC
Sex: Female
NPI: 1972124824
Last Updated: 2024-07-12
Certification Date: 2024-07-12
Certification Date: 2024-07-12
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1972124824 | ||||||||
| Enumeration Date | 2020-05-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3118 CENTER POINT DR STE 3 EDINBURG, TX 78539-4804 United States Phone: 956-687-8000 | Fax:956-687-8009 | ||||||||
| Primary Practice Address | 801 W 1ST ST SAN JUAN, TX 78589-2276 United States Phone: 956-787-0787 | Fax:956-787-2021 | ||||||||
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