OrganizationActive
Active Health Physical Medicine, PLLC
NPI 1386003259 · General Practice Physician · Benbrook, TX
Provider details
- NPI number
- 1386003259
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Elias Lara, Sole Mbr
Mailing address
6431 Southwest Blvd
Benbrook, TX 76132-2777
Registry dates
- Enumerated
- 2016-02-19
- Last updated
- 2016-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.