Provider Demographics
NPI:1770518029
Name:STRACH, BRUCE (DC)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:
Last Name:STRACH
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 1:1801 S 5TH ST
Mailing Address - Street 2:SUITE 119
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-2927
Mailing Address - Country:US
Mailing Address - Phone:956-682-8343
Mailing Address - Fax:956-682-8367
Practice Address - Street 1:1801 S 5TH ST
Practice Address - Street 2:SUITE 119
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-2927
Practice Address - Country:US
Practice Address - Phone:956-682-8343
Practice Address - Fax:956-682-8367
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8185111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU48477Medicare UPIN