Provider Demographics
NPI:1093764730
Name:CESAK, BRIAN SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:SCOTT
Last Name:CESAK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14760 MEMORIAL DR
Mailing Address - Street 2:#307
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5251
Mailing Address - Country:US
Mailing Address - Phone:281-589-2225
Mailing Address - Fax:281-589-2227
Practice Address - Street 1:14760 MEMORIAL DR
Practice Address - Street 2:#307
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5251
Practice Address - Country:US
Practice Address - Phone:281-589-2225
Practice Address - Fax:281-589-2227
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7113111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001994501Medicaid
TX001994501Medicaid
TXU65753Medicare UPIN