Provider Demographics
NPI:1861548497
Name:S.W. UNTERSEE D.C., P.A.
Entity type:Organization
Organization Name:S.W. UNTERSEE D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:WARNER
Authorized Official - Last Name:UNTERSEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:915-845-3033
Mailing Address - Street 1:6955 N MESA ST
Mailing Address - Street 2:SUITE 301C
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-4442
Mailing Address - Country:US
Mailing Address - Phone:915-845-3033
Mailing Address - Fax:915-845-0529
Practice Address - Street 1:6955 N MESA ST
Practice Address - Street 2:SUITE 301C
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-4442
Practice Address - Country:US
Practice Address - Phone:915-845-3033
Practice Address - Fax:915-845-0529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2787111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX IDENTIFICATION NUMBER