Provider Demographics
NPI:1679700884
Name:ANNE ESQUIVEL, PH.D., P.A.
Entity type:Organization
Organization Name:ANNE ESQUIVEL, PH.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESQUIVEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:210-366-3700
Mailing Address - Street 1:8207 CALLAGHAN RD
Mailing Address - Street 2:SUITE 425
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4735
Mailing Address - Country:US
Mailing Address - Phone:210-366-3700
Mailing Address - Fax:210-265-1442
Practice Address - Street 1:8207 CALLAGHAN RD
Practice Address - Street 2:STE. 425
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4735
Practice Address - Country:US
Practice Address - Phone:210-366-3700
Practice Address - Fax:210-265-1442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-15
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31678103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty