Organization
DESERT SUN CHIROPRACTIC EAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANTHONY ONTIVEROS DC (DOCTOR OF CHIROPRACTIC)
(915) 857-6607
Entity
Organization
Contact information
Practice address
1387 GEORGE DIETER DR STE A108, EL PASO, TX 79936-7410
(915) 857-6607
(915) 838-1700
Mailing address
3800 N MESA ST STE C1, EL PASO, TX 79902-1535
(915) 857-6607
(915) 838-1700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8F5089
—
TX
01
—
8V5180
BCBS
TX
Enumeration date
02/03/2020
Last updated
04/16/2024
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