Organization
PASADENA ASSURANCE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE D SMALL (CEO)
(317) 870-1396
Entity
Organization
Contact information
Practice address
4001 PRESTON AVE, PASADENA, TX 77505-2069
(317) 870-1396
Mailing address
8465 KEYSTONE XING STE 210, INDIANAPOLIS, IN 46240-4354
(317) 870-1396
(317) 757-8491
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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