Provider Demographics
NPI:1134173057
Name:AREVALO, JOSEPH ALLEN (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ALLEN
Last Name:AREVALO
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 1:7001 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 1:3202 W ALBERTA RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9635
Practice Address - Country:US
Practice Address - Phone:956-335-2972
Practice Address - Fax:956-335-2973
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10315111NI0013X, 111NN1001X, 111NR0400X, 111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB119095OtherMEDICARE PTAN INDIVIDUAL
TX8F3299OtherMEDICARE INDIVIDUAL
TX8V4880OtherBCBS
TXTXB119095OtherMEDICARE PTAN
TX8V4880OtherBCBS