Provider Demographics
NPI:1932189289
Name:GARCIA-ESPARZA, JESUS (DC)
Entity type:Individual
Prefix:DR
First Name:JESUS
Middle Name:
Last Name:GARCIA-ESPARZA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JESUS
Other - Middle Name:E
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:4040 BROADWAY ST STE A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-4700
Mailing Address - Country:US
Mailing Address - Phone:713-643-6737
Mailing Address - Fax:713-643-6565
Practice Address - Street 1:4040 BROADWAY ST STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-4700
Practice Address - Country:US
Practice Address - Phone:713-643-6737
Practice Address - Fax:713-643-6565
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4059111NX0100X
TX4059DC111NS0005X, 111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health
Not Answered111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX92-1075267OtherTAX ID