Healthcare Provider Details

I. General information

NPI: 1881870087
Provider Name (Legal Business Name): HANUS CHIROPRACTIC CLINIC, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2008
Last Update Date: 01/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 N POLK ST SUITE 349
DESOTO TX
75115-4013
US

IV. Provider business mailing address

901 N POLK ST SUITE 349
DESOTO TX
75115-4013
US

V. Phone/Fax

Practice location:
  • Phone: 972-224-3344
  • Fax: 972-228-4476
Mailing address:
  • Phone: 972-224-3344
  • Fax: 972-228-4476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberDC4239
License Number StateTX

VIII. Authorized Official

Name: DR. STEVEN WILLIAM HANUS
Title or Position: PRESIDENT/OWNER
Credential: D.C.
Phone: 972-224-3344