Organization
481 SPORTS MEDICINE, PLLC
Active
Other names
Innovative Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNATHON Y BOYD III (OWNER)
(281) 395-4121
Entity
Organization
Contact information
Practice address
481 S KATY FORT BEND RD, SUITE 210, KATY, TX 77494-0815
(281) 394-9100
Mailing address
1450 W GRAND PKWY S, #G-414, KATY, TX 77494-8286
(281) 394-9100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC5270
TX
Other
Enumeration date
08/07/2015
Last updated
08/20/2015
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