NPI 1649656000 · live from the CMS NPI Registry
481 Sports Medicine, PLLC
Chiropractor in Katy, TX. National Provider Identifier 1649656000, active.
NPI record
| NPI | 1649656000 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 481 S Katy Fort Bend Rd, Suite 210, Katy, TX 77494 |
| Practice phone | 281-394-9100 |
| Mailing address | 1450 W Grand Pkwy S, #G-414, Katy, TX 77494 |
| Enumerated | August 7, 2015 |
| Last updated | August 20, 2015 |
| Authorized official | Johnathon Boyd, Owner |
| Other names | Innovative Sports Medicine |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | DC5270 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.