Provider Demographics
NPI:1043636533
Name:ESCOVILLA, JUDEMAE CABRERA (APRN-CNP)
Entity type:Individual
Prefix:
First Name:JUDEMAE
Middle Name:CABRERA
Last Name:ESCOVILLA
Suffix:
Gender:M
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4767
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4767
Mailing Address - Country:US
Mailing Address - Phone:956-362-5030
Mailing Address - Fax:956-362-5035
Practice Address - Street 1:1421 N COL ROWE BLVD STE A
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2304
Practice Address - Country:US
Practice Address - Phone:956-362-5030
Practice Address - Fax:956-362-5035
Is Sole Proprietor?:No
Enumeration Date:2014-03-09
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125435363LF0000X
TXF0214053363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily