NPI 1679007975 · live from the CMS NPI Registry
Activ Rehab And Wellness
Chiropractor, Sports Physician in Houston, TX. National Provider Identifier 1679007975, active.
NPI record
| NPI | 1679007975 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor, Sports Physician 111NS0005X |
| Practice location | 3773 Richmond Ave, Suite 540, Houston, TX 77046 |
| Practice phone | 832-263-3210 |
| Enumerated | April 13, 2017 |
| Last updated | April 13, 2017 |
| Authorized official | Thomas Le, Owner/Chiropractor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor, Sports Physician primary | 111NS0005X | 12269 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.