Provider Demographics
NPI:1932411782
Name:ALL STX REHAB & CHIROPRACTIC
Entity Type:Organization
Organization Name:ALL STX REHAB & CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:956-472-3011
Mailing Address - Street 1:505 ANGELITA DR
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78599-8693
Mailing Address - Country:US
Mailing Address - Phone:956-969-0158
Mailing Address - Fax:956-969-8391
Practice Address - Street 1:505 ANGELITA DR
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78599-8693
Practice Address - Country:US
Practice Address - Phone:956-969-0158
Practice Address - Fax:956-969-8391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-09
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF009053111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB109752Medicare PIN