Healthcare Provider Details

I. General information

NPI: 1144435835
Provider Name (Legal Business Name): KRISTINE A ESCAMILLA SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1881 SYLVAN AVE STE 100
DALLAS TX
75208-2030
US

IV. Provider business mailing address

5616 PRESTON OAKS RD APT. 1211
DALLAS TX
75254-8426
US

V. Phone/Fax

Practice location:
  • Phone: 214-333-7015
  • Fax:
Mailing address:
  • Phone: 214-228-2981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number115491
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: