Provider Demographics
NPI:1578593935
Name:DR. JOSEPH AREVALO DC, PLLC
Entity Type:Organization
Organization Name:DR. JOSEPH AREVALO DC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:AREVALO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:956-335-2972
Mailing Address - Street 1:7001 N 10TH ST STE G1
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3339
Mailing Address - Country:US
Mailing Address - Phone:956-335-2972
Mailing Address - Fax:956-335-2973
Practice Address - Street 1:7001 N 10TH ST STE G1
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3339
Practice Address - Country:US
Practice Address - Phone:956-335-2972
Practice Address - Fax:956-335-2973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10315111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB119094OtherPTAN
TX8F3299OtherMEDICARE
TX208210902Medicaid
TX8V4880OtherBCBS