Organization
DESERT SUN CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ONTIVEROS DC (OWNER)
(915) 838-1500
Entity
Organization
Contact information
Practice address
3800 N MESA STE. C-1, EL PASO, TX 79902
(915) 838-1500
(915) 838-1700
Mailing address
3800 N MESA STE. C-1, EL PASO, TX 79902
(915) 838-1500
(915) 838-1700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F007354
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00X637
MEDICARE PTAN
—
Enumeration date
10/02/2006
Last updated
07/28/2022
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