Healthcare Provider Details

I. General information

NPI: 1881168383
Provider Name (Legal Business Name): NATALIE RENEE ESCALANTE PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2019
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date: 05/30/2025
Reactivation Date: 07/24/2025

III. Provider practice location address

2222 MEDICAL DISTRICT DR
DALLAS TX
75235-8075
US

IV. Provider business mailing address

2222 MEDICAL DISTRICT DR
DALLAS TX
75235-8075
US

V. Phone/Fax

Practice location:
  • Phone: 214-456-7000
  • Fax:
Mailing address:
  • Phone: 214-456-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number39665
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: