Provider Demographics
NPI:1346089166
Name:ESCALANTE HEALTHCARE & WELLNESS PLLC
Entity type:Organization
Organization Name:ESCALANTE HEALTHCARE & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCALANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-714-5173
Mailing Address - Street 1:4900 BISSONNET ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4035
Mailing Address - Country:US
Mailing Address - Phone:346-240-9868
Mailing Address - Fax:231-495-0473
Practice Address - Street 1:4900 BISSONNET ST STE 200
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4035
Practice Address - Country:US
Practice Address - Phone:346-240-9868
Practice Address - Fax:231-495-0473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-21
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty