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Organization
PBH PROFESSIONAL GROUP, P.A.
Active
Organization
PBH PROFESSIONAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA F. SADRI-AZARBAYEJANI D.O. (PRESIDENT AND SECRETARY)
(615) 308-7871
Entity
Organization
Contact information
Practice address
2219 W EULESS BLVD STE 100, EULESS, TX 76040-6624
(817) 857-9110
(817) 391-3262
Mailing address
103 POWELL CT STE 100, BRENTWOOD, TN 37027-5050
(615) 308-7871
(615) 261-8901
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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