Provider Demographics
NPI:1932161874
Name:SYKES, STEVEN GLENN (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:GLENN
Last Name:SYKES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:G
Other - Last Name:SYKES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:900 W LOOP 250 N STE D
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-2833
Mailing Address - Country:US
Mailing Address - Phone:432-687-5656
Mailing Address - Fax:432-687-5657
Practice Address - Street 1:900 W LOOP 250 N STE D
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-2833
Practice Address - Country:US
Practice Address - Phone:432-687-5656
Practice Address - Fax:432-687-5657
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4704111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1722381Medicaid
TX608132OtherBCBS TX
TX1722381Medicaid