Email rcvd from: Diana.Flores@dchstx.org  Subject: CREDENTIALING-Angiollet S Escobar NP  Angiollet S Escobar NP NPI # 1962917997 Valley Med Urgent Care Tax ID # 81-5123542  Good morning,  In order to initiate the credentialing process, please provide the following information to avoid delay in credentialing the provider. Information missing, incomplete or expired.  ·         Attestation pages with current signature and date ·         Addendum * see attached addendum * has a different supervising physician then the physician on the PAA, please complete a new addendum Dr. Abdur Rauf does not have Angiollett Listed on his License as her supervising physician. *see PAA attached with Dr. Teresa Saavedra as her supervising physician ·         Copy of current board certification * If applicable Copy of W-9 with current signature and dated 2021  Texas Standardized Credentialing application * See attached pages missing information required. Page 4-5 – 3 References needed with full name/title/address/phone number * Call coverage, should be supervising physician Page 6-7- Practice location please review in its entirety for accuracy and provide your in-house billing contact’s name/address/phone and fax number/ email address/Check payable to Page F- missing page F for practice location 101 E Expy. 83 Ste. 170 McAllen Texas 78501-1166   I have attached forms needed, please provide the above required documents to process the application.  If you have any questions please contact me via email or phone  Thank you in advance for your cooperation.