Provider Demographics
NPI:1063652501
Name:VARELA, HECTOR ANTONIO (DC)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:ANTONIO
Last Name:VARELA
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:7558 W THUNDERBIRD RD
Mailing Address - Street 2:SUITE 4B
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-6080
Mailing Address - Country:US
Mailing Address - Phone:623-412-2241
Mailing Address - Fax:623-412-2251
Practice Address - Street 1:7558 W THUNDERBIRD RD
Practice Address - Street 2:SUITE 4B
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-6080
Practice Address - Country:US
Practice Address - Phone:623-412-2241
Practice Address - Fax:623-412-2251
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2012-05-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ1046111NR0400X
AZ1614225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist