# PROACTIVE INJURY & REHAB CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Proactive Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336053164
- **Authorized official:** ANDY RAUL MANZANO MATOS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (832) 705-2204

## Contact information

- **Practice address:** 6666 HARWIN DR STE 460, HOUSTON, TX 77036-2275
- **Practice address phone:** (832) 712-1975
- **Mailing address:** 6666 HARWIN DR STE 460, HOUSTON, TX 77036-2275
- **Mailing address phone:** (832) 712-1975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2026
- **Last updated:** 09/29/2026