ACTIVE HEALTH PHYSICAL MEDICINE, PLLC is a general practice in Benbrook, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee ACTIVE HEALTH PHYSICAL MEDICINE, PLLC NPI is 1386003259. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
6431 SOUTHWEST BLVD
BENBROOK, TX
ZIP 76132-777
Phone: (817) 738-9777
The provider's authorized official is Elias Lara .
The authorized official title is Sole Mbr and has the following contact phone number (817) 738-9777.
The enumeration date for this NPI number is 2/19/2016 and was last updated on 2/19/2016.