Borbon Chiropractic PLLC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

9945 Issued in TX

Legal business name

BORBON CHIROPRACTIC PLLC

Doing business as

Pure Life Chiropractic Neurology

Practice address

5656 Bee Caves Rd
Suite K201
West Lake Hills, TX 78746-5280

Phone

(512) 306-9800

Fax

(512) 306-9818

NPI assigned

Oct 10, 2008

Last updated

Oct 10, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roger Andre Borbon, D.C.NPI 1558545228

Title

Owner/Ceo

Phone

(512) 306-9800

Specialties & licenses 1

Addresses

Other names 1

• Pure Life Chiropractic Neurology Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger Borbon, D.C.

  • Neurology Chiropractor
  • West Lake Hills, TX
  • NPI 1558545228
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1669624409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD",
            "address_2": "SUITE K201",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-306-9800",
            "fax_number": "512-306-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD",
            "address_2": "SUITE K201",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-306-9800",
            "fax_number": "512-306-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORBON CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "BORBON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "512-306-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "9945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Life Chiropractic Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• William Booth, LCSW, MSW, LCDC-I
• Amreen Bora, RD, LD
• Roger Borbon, D.C.
• Joseph Bordelon
• Ennessie Brady, LPC-A
• Briahna D'Shae Brandt, CPHT
• Bray Counseling, PLLC

• Neurology Chiropractor in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Neurology Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.