Provider Demographics
NPI:1215734454
Name:TRIBALANCE CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:TRIBALANCE CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:GISELLE
Authorized Official - Last Name:COLON CABOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-636-3294
Mailing Address - Street 1:3311 E DEL MAR BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2448
Mailing Address - Country:US
Mailing Address - Phone:956-701-0208
Mailing Address - Fax:
Practice Address - Street 1:3311 E DEL MAR BLVD STE 207
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2448
Practice Address - Country:US
Practice Address - Phone:956-701-0208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty