Provider Demographics
NPI:1386431773
Name:ESQUIVEL FAMILY CLINIC & MED SPA PLLC
Entity type:Organization
Organization Name:ESQUIVEL FAMILY CLINIC & MED SPA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:ROMAN
Authorized Official - Last Name:ESQUIVEL-VANEGAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-609-7007
Mailing Address - Street 1:1708 WESTWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3139
Mailing Address - Country:US
Mailing Address - Phone:956-457-9779
Mailing Address - Fax:
Practice Address - Street 1:2727 W TRENTON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3433
Practice Address - Country:US
Practice Address - Phone:956-609-7007
Practice Address - Fax:956-609-7008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty