Pacheco Spine and Sport PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PACHECO SPINE AND SPORT PLLC

Practice address

1067 Gilmer St Ste C
Sulphur Springs, TX 75482-4378

Phone

(903) 629-5126

Fax

(903) 307-5321

NPI assigned

Jan 30, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony Pacheco, DC

Title

Owner/Chiropractor

Phone

(903) 629-5126

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1467214858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 GILMER ST STE C",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824378",
            "telephone_number": "903-629-5126",
            "fax_number": "903-307-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 GILMER ST STE C",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824378",
            "telephone_number": "903-629-5126",
            "fax_number": "903-307-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACHECO SPINE AND SPORT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "903-629-5126",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.