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ACTIVE HEALTH PHYSICAL MEDICINE, PLLC
NPI 1386003259
General Practice in Benbrook, TX

Active since February 19, 2016
6431 SOUTHWEST BLVD, BENBROOK, TX 76132(817) 738-9777 Get Directions Write a Review

NPPES record last updated: February 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Active Health Physical Medicine, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE HEALTH PHYSICAL MEDICINE, PLLC (NPI 1386003259) is a healthcare organization registered as a general practice in Benbrook, Texas and active in the NPI registry since February 2016. The organization lists Elias Lara, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1386003259
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameACTIVE HEALTH PHYSICAL MEDICINE, PLLC
Location Address6431 SOUTHWEST BLVDBenbrook, TX 76132-2777
Mailing Address6431 Southwest BlvdBenbrook, TX 76132-2777 · (817) 738-9777
Phone(817) 738-9777
Organization SubpartNo
Authorized OfficialElias LaraSole Mbr · (817) 738-9777
Enumeration DateFebruary 19, 2016
✔ NPI 1386003259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
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
6431 SOUTHWEST BLVD, Benbrook, TX 76132
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOOD NIGHT MEDICAL OF TEXAS, INC.
Durable Medical Equipment & Medical Supplies
6431 SOUTHWEST BLVD
BENBROOK, TX 76132
Tarrant County (469) 467-6555
LYNDA P. EFFERTZ LPC
Counselor (Mental Health)
6431 SOUTHWEST BLVD
BENBROOK, TX 76132
Tarrant County (817) 737-3331
NORTH TEXAS INJURY AND WELLNESS PLLC
Physical Medicine & Rehabilitation
6431 SOUTHWEST BLVD
BENBROOK, TX 76132
Tarrant County (817) 738-9777
TEXAS CENTER OF CHIROPRACTIC ORTHOPEDICS, LLC
Chiropractor (Orthopedic)
6431 SOUTHWEST BLVD
BENBROOK, TX 76132
Tarrant County (817) 874-2555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Health Physical Medicine, PLLC's NPI number?

The NPI number for Active Health Physical Medicine, PLLC is 1386003259. It was assigned to this organization in the NPPES registry on February 19, 2016.

Where is Active Health Physical Medicine, PLLC located?

Active Health Physical Medicine, PLLC is located at 6431 Southwest Blvd, Benbrook, TX 76132. The listed phone number is (817) 738-9777.

What is Active Health Physical Medicine, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Active Health Physical Medicine, PLLC was last updated on February 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.