Provider Demographics
NPI:1891748786
Name:PASLAK, WILLIAM (DC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:PASLAK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5111 N 10TH ST
Mailing Address - Street 2:#316
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2835
Mailing Address - Country:US
Mailing Address - Phone:956-655-6399
Mailing Address - Fax:
Practice Address - Street 1:110 E SAVANNAH AVE
Practice Address - Street 2:A-204
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1241
Practice Address - Country:US
Practice Address - Phone:956-686-4040
Practice Address - Fax:956-686-2936
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4987111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G5408OtherMEDICARE