=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346963071
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR DRAKES SLEEP SOLUTIONS CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/19/2022
-----------------------------------------------------
Last Update Date | 06/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1996 SCHERTZ PKWY STE 304
-----------------------------------------------------
City | SCHERTZ
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78154-1677
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-541-9001
-----------------------------------------------------
Fax | 210-579-7200
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14603 HUEBNER RD BLDG 4
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78230-5473
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-541-9001
-----------------------------------------------------
Fax | 210-579-7200
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CRISTOPHER LUIS ESCALANTE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 210-541-9001
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------