Provider Demographics
NPI:1588454060
Name:DE LA CERDA-BARRERA, PABLO III (DC)
Entity type:Individual
Prefix:DR
First Name:PABLO
Middle Name:
Last Name:DE LA CERDA-BARRERA
Suffix:III
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3633 W WALNUT HILL LN APT 1092
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-4011
Mailing Address - Country:US
Mailing Address - Phone:830-776-8079
Mailing Address - Fax:
Practice Address - Street 1:120 S DENTON TAP RD STE 410
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-5036
Practice Address - Country:US
Practice Address - Phone:469-393-0504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16467111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor