Passport Health Holdings, LLC
NPI #1639877657 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1639877657
- Entity Type
- Organization
- Organization Name
- Passport Health Holdings, LLC
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Feb 20, 2023
- Last Updated
- Feb 20, 2023
Practice Location
- Address
- 1615 S. EUCALYPTUS AVE
- Address 2
- SUITE #206
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012
- Phone
- (844) 358-8648
Authorized Official
- Name
- MR. PAUL FISHBURN
- Title
- COO
- Phone
- (480) 646-9020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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