Provider Demographics
NPI:1073128682
Name:ASHLEY ESCAMILLA BOERNER & ASSOCIATES LLC
Entity Type:Organization
Organization Name:ASHLEY ESCAMILLA BOERNER & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:ESCAMILLA
Authorized Official - Last Name:BOERNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:361-522-5473
Mailing Address - Street 1:6538 WINDING FARM
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4539
Mailing Address - Country:US
Mailing Address - Phone:361-522-5473
Mailing Address - Fax:
Practice Address - Street 1:12227 HUEBNER RD STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1251
Practice Address - Country:US
Practice Address - Phone:210-255-3997
Practice Address - Fax:210-255-3987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty