Provider Demographics
NPI:1700897055
Name:DESCANT, STEVEN P (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:P
Last Name:DESCANT
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 1:5625 EIGER RD STE 160
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8980
Mailing Address - Country:US
Mailing Address - Phone:512-326-1400
Mailing Address - Fax:512-326-1463
Practice Address - Street 1:5625 EIGER RD STE 160
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8980
Practice Address - Country:US
Practice Address - Phone:512-326-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6853111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU60514Medicare UPIN