=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134014137
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HUNTER SATER DC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/10/2025
-----------------------------------------------------
Last Update Date | 06/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2150 MARKET PLACE BLVD STE 180
-----------------------------------------------------
City | IRVING
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75063-3943
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-556-2500
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3900 GRAPEVINE MILLS PKWY UNIT 1927
-----------------------------------------------------
City | GRAPEVINE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76051-0910
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-969-2910
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 16480
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------