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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