Provider Demographics
NPI:1669571022
Name:ESPOSITO, THOMAS E (DC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:E
Last Name:ESPOSITO
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 1:1720 N JOSEY LN
Mailing Address - Street 2:STE 100
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-6084
Mailing Address - Country:US
Mailing Address - Phone:972-416-1885
Mailing Address - Fax:972-416-3696
Practice Address - Street 1:1720 N JOSEY LN
Practice Address - Street 2:STE 100
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-6084
Practice Address - Country:US
Practice Address - Phone:972-416-1885
Practice Address - Fax:972-416-3696
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6858111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX607062OtherBCBS
TXU77176Medicare UPIN
TX609272Medicare PIN