Provider Demographics
NPI:1881870087
Name:HANUS CHIROPRACTIC CLINIC, P.A.
Entity type:Organization
Organization Name:HANUS CHIROPRACTIC CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HANUS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-224-3344
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:972-224-3344
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:972-224-3344
Practice Address - Fax:972-228-4476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC4239261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
0065MCOtherBLUE CROSS BLUE SHIELD