| Kai Borgstrom, DC, CCSP | |
|
3033 Marina Bay Dr, Suite 200, League City, TX 77573-3984 | |
| (281) 334-9300 | |
| (281) 334-9301 |
| Full Name | Kai Borgstrom |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 23 Years |
| Location | 3033 Marina Bay Dr, League City, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821220435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 10478 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifeclinic Chiropractic Of Texas Llc | 6002121027 | 13 |
| Provider Name | Gateway Chiropractic - South Shore Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629260179 PECOS PAC ID: 9335208891 Enrollment ID: O20081112000791 |
| Provider Name | Lifeclinic Chiropractic Of Texas Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417347899 PECOS PAC ID: 6002121027 Enrollment ID: O20150819007977 |
| Mailing Address | Practice Location Address |
|---|---|
| Kai Borgstrom, DC, CCSP 3033 Marina Bay Dr, Suite 200, League City, TX 77573-3984 Ph: (281) 334-9300 | Kai Borgstrom, DC, CCSP 3033 Marina Bay Dr, Suite 200, League City, TX 77573-3984 Ph: (281) 334-9300 |
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