Provider Demographics
NPI:1508970336
Name:A-SUN NATURAL HEALTH CENTER, LTD.
Entity Type:Organization
Organization Name:A-SUN NATURAL HEALTH CENTER, LTD.
Other - Org Name:D.LOPER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES/TREAS./PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:LOPER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-869-9811
Mailing Address - Street 1:4219 WILLIAMS DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-1337
Mailing Address - Country:US
Mailing Address - Phone:512-863-2786
Mailing Address - Fax:512-366-9902
Practice Address - Street 1:1911 N AUSTIN AVE STE 405
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-4543
Practice Address - Country:US
Practice Address - Phone:512-869-9811
Practice Address - Fax:512-366-9902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5101111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AJ135OtherBLUE CROSS / BLUE SHIELD
TX0A0286OtherMEDICARE PTAN
TX8AJ135OtherBLUE CROSS / BLUE SHIELD
TX0A0286Medicare UPIN