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Contact Information

ACTIVE LIFE HEALTH OF BELLAIRE PLLC
6700 WEST LOOP S STE 225
BELLAIRE, TX77401-4104
 Phone: 281-393-4121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ACTIVE LIFE HEALTH OF BELLAIRE PLLC

NPI Number 1972395572
LBN Legal business name ACTIVE LIFE HEALTH OF BELLAIRE PLLC
Authorized official JOHN RUSH - (OWNER OF THE ENTITY)
Entity Organization
Organization subpart 1 No
Enumeration date 05/20/2025
Last updated 05/20/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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