Provider Demographics
NPI:1316032733
Name:CAPULI, SALVADOR A (DC)
Entity Type:Individual
Prefix:DR
First Name:SALVADOR
Middle Name:A
Last Name:CAPULI
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 1:2223 W. PARK ROW STE. C
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013
Mailing Address - Country:US
Mailing Address - Phone:817-460-1131
Mailing Address - Fax:817-460-1195
Practice Address - Street 1:2223 W. PARK ROW STE. C
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013
Practice Address - Country:US
Practice Address - Phone:817-460-1131
Practice Address - Fax:817-460-1195
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4649DC111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT87984Medicare UPIN
TX609096Medicare ID - Type Unspecified