Healthcare Provider Details
I. General information
NPI: 1851252514
Provider Name (Legal Business Name): HONOR HEALTH USA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/21/2025
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4539 N 22ND ST STE R
PHOENIX AZ
85016-4639
US
IV. Provider business mailing address
PMB# 17209392, 405 STATE HIGHWAY 121 BYP STE A250
LEWISVILLE TX
75067-4183
US
V. Phone/Fax
- Phone: 678-792-0778
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NERI
BARBA
Title or Position: MD
Credential:
Phone: 678-792-0778