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Organization
MOMENTUM REGENERATIVE MEDICINE PLLC
Active
Organization
MOMENTUM REGENERATIVE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN PAUL BARNWELL (OWNER)
(281) 827-9716
Entity
Organization
Contact information
Practice address
2770 FM 1463 RD STE 101B, KATY, TX 77494-7968
(346) 257-4179
Mailing address
2770 FM 1463 RD STE 101B, KATY, TX 77494-7968
(346) 257-4179
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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