Healthcare Provider Details

I. General information

NPI: 1780807941
Provider Name (Legal Business Name): ANTHONY JAMES ESQUIBEL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 08/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4002 BROADWAY BLVD. #101 ELITE HEALTHCARE GARLAND
GARLAND TX
75043
US

IV. Provider business mailing address

4002 BROADWAY BLVD. #101 ELITE HEALTHCARE GARLAND
GARLAND TX
75043
US

V. Phone/Fax

Practice location:
  • Phone: 214-556-2150
  • Fax: 214-556-2155
Mailing address:
  • Phone: 214-556-2150
  • Fax: 214-556-2155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number8133
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: