Provider Demographics
NPI:1982193009
Name:ESCAMILLA, ASHLEY NICOLE (DC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NICOLE
Last Name:ESCAMILLA
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 1:12227 HUEBNER RD
Mailing Address - Street 2:STE 102
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-1251
Mailing Address - Country:US
Mailing Address - Phone:210-255-3997
Mailing Address - Fax:
Practice Address - Street 1:12227 HUEBNER RD
Practice Address - Street 2:STE 102
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
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13688111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor