Provider Demographics
NPI:1801084017
Name:DR. PABLO TAGLE III CHIROPRACTIC WELLNESS & SPA CENTER
Entity type:Organization
Organization Name:DR. PABLO TAGLE III CHIROPRACTIC WELLNESS & SPA CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:
Authorized Official - Last Name:TAGLE
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:956-686-8060
Mailing Address - Street 1:3130 N 23RD ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-6139
Mailing Address - Country:US
Mailing Address - Phone:956-686-8060
Mailing Address - Fax:956-630-5553
Practice Address - Street 1:3130 N 23RD ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-6139
Practice Address - Country:US
Practice Address - Phone:956-686-8060
Practice Address - Fax:956-630-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10710111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty