Healthcare Provider Details

I. General information

NPI: 1326512880
Provider Name (Legal Business Name): DAVID ESCALANTE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2019
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 BISSONNET ST STE 200
BELLAIRE TX
77401-4035
US

IV. Provider business mailing address

4900 BISSONNET ST STE 200
BELLAIRE TX
77401-4035
US

V. Phone/Fax

Practice location:
  • Phone: 346-240-9868
  • Fax: 231-495-0473
Mailing address:
  • Phone: 346-240-9868
  • Fax: 231-495-0473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number13946
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: