MEDICARE: DR. JOSEPH ALLEN AREVALO D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NI0013X	Independent Medical Examiner Chiropractor	10315	TX
2	111NN1001X	Nutrition Chiropractor	10315	TX
3	111NR0400X	Rehabilitation Chiropractor	10315	TX
4	111NS0005X	Sports Physician Chiropractor	10315	TX
5	111N00000X	Chiropractor	10315	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	TXB119095	OTHER	TX	MEDICARE PTAN INDIVIDUAL
2	8F3299	OTHER	TX	MEDICARE INDIVIDUAL
4	TXB119095	OTHER	TX	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	8V4880	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1134173057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH ALLEN AREVALO D.C.

Provider Business Mailing Address
First Line	:	7001 N 10TH ST STE G1
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-3339
Country	:	US
Telephone Number	:	956-335-2972
Fax Number	:	956-335-2973

Provider Business Practice Location Address
First Line	:	3202 W ALBERTA RD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-9635
Country	:	US
Telephone Number	:	956-335-2972
Fax Number	:	956-335-2973

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	07/06/2022

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Directions to “ DR. JOSEPH ALLEN AREVALO D.C.” Practice Location

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