ACTIVE HEALTH PHYSICAL MEDICINE, PLLC

BENBROOK, TX
NPI1386003259
Entity TypeOrganization
Authorized ContactELIAS LARA
Sole Mbr
817-738-9777
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2016-02-19
Last Update Date2016-02-19
Business Address
ACTIVE HEALTH PHYSICAL MEDICINE, PLLC
6431 SOUTHWEST BLVD
BENBROOK, TX 76132-2777
Phone number: 817-738-9777
Mailing Address
ACTIVE HEALTH PHYSICAL MEDICINE, PLLC
6431 SOUTHWEST BLVD
BENBROOK, TX 76132-2777
Phone number: 817-738-9777