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Organization

PASSPORT HEALTH HOLDINGS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL FISHBURN (COO)
(480) 646-9020
Entity
Organization

Contact information

Practice address
5282 MEDICAL DRIVE, SUITE 445, SAN ANTONIO, TX 78229
(844) 358-8648
(877) 877-6875
Mailing address
4343 EAST OUTLIER BLV., SUITE 100W, PHOENIX, AZ 85008-6507
(844) 358-8648
(877) 877-6875

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
02/20/2023
Last updated
02/20/2023
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