Provider Demographics
NPI:1588607287
Name:TUSSING, PATRICK G (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:G
Last Name:TUSSING
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 1:1805 E HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7310
Mailing Address - Country:US
Mailing Address - Phone:956-423-3364
Mailing Address - Fax:956-428-0697
Practice Address - Street 1:1805 E HARRISON AVE
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7310
Practice Address - Country:US
Practice Address - Phone:956-423-3364
Practice Address - Fax:956-428-0697
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2504111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT16357Medicare UPIN
TX600815Medicare ID - Type Unspecified