# PASSPORT HEALTH HOLDINGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Passport Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467878595
- **Authorized official:** MR. PAUL FISHBURN (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (480) 646-9020

## Contact information

- **Practice address:** 8766 S. MARYLAND PKWY, SUITE 104, LAS VEGAS, NV 89123-6700
- **Practice address phone:** (877) 358-8648
- **Practice address fax:** (877) 877-6875
- **Mailing address:** 668 N 44TH ST, SUITE 100W, PHOENIX, AZ 85008-6507
- **Mailing address phone:** (877) 358-8648
- **Mailing address fax:** (877) 877-6875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 261Q0000X | NV | Yes |

## Other

- **Enumeration date:** 03/13/2014
- **Last updated:** 04/01/2022