OrganizationActive
Performance Medicine LLC
NPI 1508378738 · Health Service Clinic/Center · Lexington, KY
Provider details
- NPI number
- 1508378738
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kanisha Hall, Owner(202) 709-9822
Specialties & taxonomies
Ambulatory Health Care Facilities
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Practice location
110 W Vine St
Lexington, KY 40507-1658
Phone: (859) 208-6781
Fax: (859) 208-6803
Approximate (ZIP-level) locationGet directions
Mailing address
3050 Post Oak Blvd Ste 510
Houston, TX 77056-6512
Additional practice locations (1)
- 3050 Post Oak Blvd Ste 510Houston, TX 77056-6512Phone: (866) 943-2384Fax: (713) 885-9572
Registry dates
- Enumerated
- 2017-10-27
- Last updated
- 2023-03-20
- Certified
- 2023-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.