Active Health Physical Medicine, PLLC
Active Health Physical Medicine, PLLC provides General Practice Physician services in Benbrook, Texas. Licensed in Texas. Registered with an NPI since 2016.
- Licensed in
- TX
- In the registry since
- 2016
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6431 SW BlvdBenbrook, TX 76132-2777 Not confirmed with CMS for 10 years — call before visiting
Phone: (817) 738-9777
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X (TX) |
|---|
Record details
| NPI number | 1386003259 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elias Lara — Sole Mbr · (817) 738-9777 |
| NPI enumerated | February 19, 2016 |
| Last updated in NPPES | February 19, 2016 |
| Mailing address | 6431 Southwest Blvd, Benbrook, TX 76132-2777 |