ACTIVE HEALTH PHYSICAL MEDICINE, PLLC (NPI# 1386003259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386003259 |
| Entity Type | Organization |
| Organization Name | ACTIVE HEALTH PHYSICAL MEDICINE, PLLC |
| Practice Address |
6431 Southwest Blvd Benbrook TX 76132-2777 |
| Practice Telephone | 8177389777 |
| Mailing Telephone | 8177389777 |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |
| Authorized Official Name | DR. ELIAS LARA (SOLE MBR) |
| Authorized Official Telephone | 8177389777 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | TX | Allopathic & Osteopathic Physicians |
| Street Address |
6431 SOUTHWEST BLVD |
| City | BENBROOK |
| State | TX |
| Zip Code | 76132-2777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598867103 | Lynda P. Effertz | Counselor | 6431 Southwest Blvd, Benbrook, TX 76132-2777 | 2006-09-03 |
| 1700428901 | North Texas Injury and Wellness Pllc | Chiropractor | 6431 Southwest Blvd, Benbrook, TX 76132-2777 | 2019-10-09 |
| 1316392384 | Tracy Beasley | Nurse Practitioner | 6431 Southwest Blvd, Benbrook, TX 76132-2777 | 2016-04-27 |
| 1730548819 | Azarina Zayere | Nurse Practitioner | 6431 Southwest Blvd, Benbrook, TX 76132-2777 | 2016-02-17 |
| 1770847071 | Texas Center of Chiropractic Orthopedics, LLC | Chiropractor | 6431 Southwest Blvd, Benbrook, TX 76132-2777 | 2012-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.