# PBH PROFESSIONAL GROUP, P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1932786290
- **Authorized official:** FLORA F. SADRI-AZARBAYEJANI D.O. (PRESIDENT AND SECRETARY)
- **Authorized official phone:** (615) 308-7871

## Contact information

- **Practice address:** 2219 W EULESS BLVD STE 100, EULESS, TX 76040-6624
- **Practice address phone:** (817) 857-9110
- **Practice address fax:** (817) 391-3262
- **Mailing address:** 103 POWELL CT STE 100, BRENTWOOD, TN 37027-5050
- **Mailing address phone:** (615) 308-7871
- **Mailing address fax:** (615) 261-8901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 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