Provider Demographics
NPI:1366673147
Name:PIMPLEKAR, ESTHER V
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:V
Last Name:PIMPLEKAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 AIRPORT FWY STE 301
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-6604
Mailing Address - Country:US
Mailing Address - Phone:682-292-9000
Mailing Address - Fax:844-289-7694
Practice Address - Street 1:1305 AIRPORT FWY
Practice Address - Street 2:301
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-6605
Practice Address - Country:US
Practice Address - Phone:682-292-9000
Practice Address - Fax:844-289-7694
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128315363L00000X
NC224752363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX349820601Medicaid
TX427711YSN3Medicare PIN
NC7005603Medicaid
NC2594562Medicare PIN