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Organization
BORBON CHIROPRACTIC PLLC
Active
Organization
BORBON CHIROPRACTIC PLLC
Active
Other names
Pure Life Chiropractic Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER ANDRE BORBON D.C. (OWNER/CEO)
(512) 306-9800
Entity
Organization
Contact information
Practice address
5656 BEE CAVES RD, SUITE K201, WEST LAKE HILLS, TX 78746-5280
(512) 306-9800
(512) 306-9818
Mailing address
5656 BEE CAVES RD, SUITE K201, WEST LAKE HILLS, TX 78746-5280
(512) 306-9800
(512) 306-9818
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
9945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558545228
NPI
TX
01
—
V04296
UPIN
TX
Enumeration date
10/10/2008
Last updated
10/10/2008
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