Provider Demographics
NPI:1578582276
Name:HANUS, STEVEN WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:WILLIAM
Last Name:HANUS
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 1:901 N POLK ST
Mailing Address - Street 2:SUITE 349
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-4013
Mailing Address - Country:US
Mailing Address - Phone:972-244-3344
Mailing Address - Fax:972-228-4476
Practice Address - Street 1:901 N POLK ST
Practice Address - Street 2:SUITE 349
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-4013
Practice Address - Country:US
Practice Address - Phone:972-244-3344
Practice Address - Fax:972-228-4476
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC4239TX111N00000X, 111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8R5372OtherBLUE CROSS BLUE SHIELD
TX0065MCOtherBCBS/ORGANIZATION
TXDC4239TXOtherTX STATE LICENSE NUMBER
TXT13678Medicare UPIN
TX604062Medicare ID - Type UnspecifiedMEDICARE