Provider Demographics
NPI:1114283645
Name:MCCALL, TESHA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:TESHA
Middle Name:ANN
Last Name:MCCALL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21151 TOMBALL PKWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1669
Mailing Address - Country:US
Mailing Address - Phone:281-376-7109
Mailing Address - Fax:281-251-7302
Practice Address - Street 1:21151 TOMBALL PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1669
Practice Address - Country:US
Practice Address - Phone:281-376-7109
Practice Address - Fax:281-251-7302
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC11746111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor