Provider Demographics
NPI:1396014320
Name:ESPARZA, EVELINA (DC)
Entity Type:Individual
Prefix:DR
First Name:EVELINA
Middle Name:
Last Name:ESPARZA
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 1:13915 N MOPAC
Mailing Address - Street 2:STE 204
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728-6517
Mailing Address - Country:US
Mailing Address - Phone:512-238-9355
Mailing Address - Fax:512-238-9356
Practice Address - Street 1:13915 N MOPAC
Practice Address - Street 2:STE 204
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-6517
Practice Address - Country:US
Practice Address - Phone:512-791-6160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1935111N00000X
TX11633111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor