# TEXAS REGEN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669007019
- **Authorized official:** DR. JOHN E MCINTYRE DC (PRESIDENT)
- **Authorized official phone:** (281) 993-2003

## Contact information

- **Practice address:** 1819 E BROADWAY ST, SUITE 101, PEARLAND, TX 77581-5671
- **Practice address phone:** (281) 993-2003
- **Practice address fax:** (877) 781-6179
- **Mailing address:** 1819 E BROADWAY ST, SUITE 101, PEARLAND, TX 77581-5671
- **Mailing address phone:** (281) 993-2003
- **Mailing address fax:** (877) 781-6179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 03/05/2020
- **Last updated:** 03/05/2020