Healthcare Provider Details
I. General information
NPI: 1821524737
Provider Name (Legal Business Name): BHS PHYSICIANS NETWORK, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2017
Last Update Date: 08/13/2020
Certification Date: 08/13/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2311 N MESA ST STE. G
EL PASO TX
79902-3666
US
IV. Provider business mailing address
PO BOX 5730
BELFAST ME
04915-5700
US
V. Phone/Fax
- Phone: 915-351-0699
- Fax: 915-545-1660
- Phone: 207-323-7336
- Fax: 888-864-4428
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
MURPHY
Title or Position: VP
Credential:
Phone: 469-893-2000