Provider Demographics
NPI:1518064658
Name:CANION, STEVEN CLAY (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CLAY
Last Name:CANION
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 1:600 CUT OFF RD
Mailing Address - Street 2:#15
Mailing Address - City:PORT ARANSAS
Mailing Address - State:TX
Mailing Address - Zip Code:78373-4245
Mailing Address - Country:US
Mailing Address - Phone:361-749-3388
Mailing Address - Fax:361-749-3389
Practice Address - Street 1:600 CUT OFF RD
Practice Address - Street 2:#15
Practice Address - City:PORT ARANSAS
Practice Address - State:TX
Practice Address - Zip Code:78373-4245
Practice Address - Country:US
Practice Address - Phone:361-749-3388
Practice Address - Fax:361-749-3389
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4648111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX611309Medicare ID - Type Unspecified