Poractivebtx LLC

NPI #1710792064 in Bryan, Texas

Provider Information

NPI Number: 1710792064
Entity Type: Organization
Organization Name: Poractivebtx LLC
Primary Specialty: Chiropractor
Enumeration Date: Feb 12, 2025
Last Updated: Feb 12, 2025

Practice Location

Address: 3351 UNIVERSITY DR E STE 112
City: Bryan
State: Texas
ZIP Code: 77802-3470
Phone: (979) 776-6808

Authorized Official

Name: JASON ALLEN, DC
Title: PRESIDENT
Phone: (979) 412-2089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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