Provider Demographics
NPI:1215157490
Name:ESPINOSA, HECTOR (LSA)
Entity type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:
Last Name:ESPINOSA
Suffix:
Gender:M
Credentials:LSA
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 18042
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-8042
Mailing Address - Country:US
Mailing Address - Phone:832-576-2380
Mailing Address - Fax:281-974-3171
Practice Address - Street 1:2502 INDIAN PLAINS LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1264
Practice Address - Country:US
Practice Address - Phone:832-576-2380
Practice Address - Fax:281-974-3171
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00169246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant