Provider Demographics
NPI:1215285077
Name:CHIROSYNC HEALTH & WELLNESS
Entity type:Organization
Organization Name:CHIROSYNC HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSALVEZ
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:956-627-3865
Mailing Address - Street 1:610 N. MCCOLL RD.
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501
Mailing Address - Country:US
Mailing Address - Phone:956-627-3865
Mailing Address - Fax:956-627-3871
Practice Address - Street 1:610 N MCCOLL RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-9335
Practice Address - Country:US
Practice Address - Phone:956-627-3865
Practice Address - Fax:956-627-3871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12099111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty