Healthcare Provider Details

I. General information

NPI: 1053860239
Provider Name (Legal Business Name): DANA ESCALANTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2016
Last Update Date: 09/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 DALLAS PKWY SUITE 700
PLANO TX
75024-7144
US

IV. Provider business mailing address

6900 DALLAS PKWY SUITE 700
PLANO TX
75024-7144
US

V. Phone/Fax

Practice location:
  • Phone: 214-396-7725
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: