Provider Demographics
NPI:1053585349
Name:ESQUIVEL, HEATHER MICHELE (MD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:MICHELE
Last Name:ESQUIVEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5402 ARAPAHO RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-6905
Mailing Address - Country:US
Mailing Address - Phone:469-780-4590
Mailing Address - Fax:833-450-0375
Practice Address - Street 1:12606 GREENVILLE AVE STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1923
Practice Address - Country:US
Practice Address - Phone:469-780-4590
Practice Address - Fax:833-450-0375
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7362261QC1500X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
283855901OtherTPI