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Organization

ALPHA SPORTS MCKINNEY, LLC

Active
Parent organization
ALPHA CHIRO SPORTS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALPHA CHIRO SPORTS, LLC
Authorized official
DR. BENJAMIN BUMGUARDNER DC (OWNER)
(325) 660-3266
Entity
Organization

Contact information

Practice address
4100 RIDGE RD S, SUITE 111, COLLEGE STATION, TX 77845
(469) 608-0386
Mailing address
4438 SH 6 S, #104, COLLEGE STATION, TX 77845
(979) 398-2787

Taxonomy

Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
111NS0005X
Sports Physician Chiropractor
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
2251S0007X
Sports Physical Therapist
Primary
2251X0800X
Orthopedic Physical Therapist
225700000X
Massage Therapist

Other

Enumeration date
09/07/2023
Last updated
09/07/2023
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