Provider Demographics
NPI:1902983810
Name:STS INTERNATIONAL LLC
Entity Type:Organization
Organization Name:STS INTERNATIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:HORTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:936-588-5008
Mailing Address - Street 1:STE 52 A 15949 HWY 105 W
Mailing Address - Street 2:STS INTERNATIONAL, LLC
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-5738
Mailing Address - Country:US
Mailing Address - Phone:936-588-5008
Mailing Address - Fax:936-588-1011
Practice Address - Street 1:STE 52 A 15949 HWY 105 W
Practice Address - Street 2:STS INTERNATIONAL, LLC
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-5738
Practice Address - Country:US
Practice Address - Phone:936-588-5008
Practice Address - Fax:936-588-1011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00X827Medicare PIN