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PORACTIVEBTX LLC
NPI 1710792064
Chiropractor in Bryan, TX

Active since February 12, 2025
3351 UNIVERSITY DR E STE 112, BRYAN, TX 77802(979) 776-6808 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Poractivebtx Llc NPPES

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

PORACTIVEBTX LLC (NPI 1710792064) is a healthcare organization registered as a chiropractor in Bryan, Texas and active in the NPI registry since February 2025. The organization lists Jason Allen, President, as its authorized official.

NPPES Registry Identity

NPI1710792064
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePORACTIVEBTX LLC
Location Address3351 UNIVERSITY DR E STE 112Bryan, TX 77802-3470
Mailing Address3351 University Dr E Ste 112Bryan, TX 77802-3470
Phone(979) 776-6808
Organization SubpartNo
Authorized OfficialJason AllenPresident · (979) 412-2089
Enumeration DateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1710792064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

3351 UNIVERSITY DR E STE 112, Bryan, TX 77802
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES

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

DR. DAVID WILLIAM DUDYCHA D.C.
Chiropractor
3351 UNIVERSITY DR E STE 112
BRYAN, TX 77802
Brazos County (979) 776-6808

Frequently Asked Questions

What is PORACTIVEBTX LLC's NPI number?

The NPI number assigned to this healthcare provider is 1710792064, enumerated as an "organization" on February 12, 2025.

Where is the provider located?

The provider is located at 3351 UNIVERSITY DR E STE 112 BRYAN, TX 77802 and the phone number is (979) 776-6808.

What is the provider's specialty?

Chiropractor with taxonomy code 111N00000X.

What insurance does PORACTIVEBTX LLC accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.