NPI 1720404858

Passport Health Holdings, LLC.

Organisation Public Health & General Preventive Medicine Physician Brentwood, TN

Practice location

Address: 7003 Chadwick Drive Suite 227 Building 1 (2nd Floor), Brentwood, TN 37027-5232
Phone: (877) 358-8648
Fax: (877) 877-6875
Mailing address: 668 N 44th St Suite 100w, Phoenix, AZ 85008-6507

Authorised official

Name: Paul Fishburn
Title: Chief Operating Officer
Phone: (480) 646-9020

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence 261Q0000X (TN)

Other Preventive Medicine providers in Tennessee →

Registry record

NPI: 1720404858
Entity type: Organization
NPI issued: 13 Mar 2014
Record last updated: 1 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.