# BORBON CHIROPRACTIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pure Life Chiropractic Neurology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669624409
- **Authorized official:** DR. ROGER ANDRE BORBON D.C. (OWNER/CEO)
- **Authorized official phone:** (512) 306-9800

## Contact information

- **Practice address:** 5656 BEE CAVES RD, SUITE K201, WEST LAKE HILLS, TX 78746-5280
- **Practice address phone:** (512) 306-9800
- **Practice address fax:** (512) 306-9818
- **Mailing address:** 5656 BEE CAVES RD, SUITE K201, WEST LAKE HILLS, TX 78746-5280
- **Mailing address phone:** (512) 306-9800
- **Mailing address fax:** (512) 306-9818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | 9945 | TX | Yes |

## Other

- **Enumeration date:** 10/10/2008
- **Last updated:** 10/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1558545228 | NPI | TX |
| 01 | — | V04296 | UPIN | TX |