481 Sports Medicine, PLLC
Organization Active NPI Chiropractor · Katy, TX
NPI 1649656000 · NPPES record last updated Aug 20, 2015
Key facts
- NPI
- 1649656000
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC5270 (TX)
- Legal business name
- 481 SPORTS MEDICINE, PLLC
- Practice address
- 481 S Katy Fort Bend Rd
Suite 210
Katy, TX 77494-0815 - Phone
- (281) 394-9100
- NPI assigned
- Aug 7, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Johnathon Y Boyd III
- Title
- Owner
- Phone
- (281) 395-4121
National Provider Directory
Locations
1450 W Grand Pkwy S
#G414
Katy, TX 77494
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC5270 | TX | Yes |
Addresses
Primary practice location
481 S Katy Fort Bend Rd
Suite 210
Katy, TX 77494-0815
Mailing address
1450 W Grand Pkwy S
#G-414
Katy, TX 77494-8286
Phone (281) 394-9100
Other names
- Innovative Sports Medicine
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.