# EXCEPTIONAL PHYSICIANS GROUP BULLHEAD CITY HOSPITAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518732023
- **Authorized official:** SHABANA AHMED (DIRECTOR)
- **Authorized official phone:** (469) 341-7800

## Contact information

- **Practice address:** 2365 HIGHWAY 95, BULLHEAD CITY, AZ 86442-6066
- **Practice address phone:** (928) 224-2443
- **Mailing address:** 3514 CEDAR SPRINGS RD, DALLAS, TX 75219-4901
- **Mailing address phone:** (469) 341-7800
- **Mailing address fax:** (469) 341-7887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2023
- **Last updated:** 11/28/2023