Provider Demographics
NPI:1992707673
Name:ROMERO, FREDDY (DC)
Entity type:Individual
Prefix:
First Name:FREDDY
Middle Name:
Last Name:ROMERO
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 1:1401 S 6TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2959
Mailing Address - Country:US
Mailing Address - Phone:956-800-5009
Mailing Address - Fax:208-408-6913
Practice Address - Street 1:1401 S 6TH ST STE B
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2959
Practice Address - Country:US
Practice Address - Phone:956-800-5009
Practice Address - Fax:208-408-6913
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2025-09-05
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-04-06
Provider Licenses
StateLicense IDTaxonomies
TXDC9290TX111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8U0900OtherBCBS
TX8L9913Medicare PIN
TXV03296Medicare UPIN