Organization
AKTIV INTEGRATIVE CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHRISTIAN PONCE DC (PROVIDER/OWNER)
(915) 449-6453
Entity
Organization
Contact information
Practice address
6585 HERMOSO DEL SOL, EL PASO, TX 79911-3018
(915) 449-6453
Mailing address
6585 HERMOSO DEL SOL, EL PASO, TX 79911-3018
(915) 449-6453
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
11693
TX
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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