Provider Demographics
NPI:1871359810
Name:PABALINAS, LAWRENCE EARL TOMINES (PT, DPT, CSCS)
Entity type:Individual
Prefix:
First Name:LAWRENCE EARL
Middle Name:TOMINES
Last Name:PABALINAS
Suffix:
Gender:M
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W JACKSON AVE APT 133
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2860
Mailing Address - Country:US
Mailing Address - Phone:956-639-1909
Mailing Address - Fax:
Practice Address - Street 1:403 N JACKSON RD
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-2112
Practice Address - Country:US
Practice Address - Phone:956-429-3866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1389520225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist