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Organization
PROACTIVE INJURY & REHAB CLINIC LLC
Active
Organization
PROACTIVE INJURY & REHAB CLINIC LLC
Active
Other names
Proactive Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY RAUL MANZANO MATOS (CHIEF EXECUTIVE OFFICER)
(832) 705-2204
Entity
Organization
Contact information
Practice address
6666 HARWIN DR STE 460, HOUSTON, TX 77036-2275
(832) 712-1975
Mailing address
6666 HARWIN DR STE 460, HOUSTON, TX 77036-2275
(832) 712-1975
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/29/2026
Last updated
09/29/2026
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