Individual provider Active NPI

Evaristo G Vazquez Jr., DC

  • Chiropractor
  • College Station, TX
National Provider Identifier
1871108670
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14487 Issued in TX
Practice address
1804 Brothers Blvd Ste D
College Station, TX 77845-5474
Phone
(979) 310-2025
NPI assigned
Sep 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 14487 TX Primary

Addresses

Primary practice location

1804 Brothers Blvd Ste D
College Station, TX 77845-5474

Mailing address

1804 Brothers Blvd Ste D
College Station, TX 77845-5474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14487TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Live Free Chiropractic and Rehabilitation LLC Chiropractor CurrentSince Aug 14, 2022 Accepting new patients
College Station Chiropractic Chiropractor PastSince Sep 13, 2020 Accepting new patients

Locations

750 William D Fitch Pkwy
Ste 240
College Station, TX 77845
Phone (979) 669-1996

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1871108670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 BROTHERS BLVD STE D",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 BROTHERS BLVD STE D",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455474",
            "telephone_number": "979-310-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "EVARISTO",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.