Healthcare Provider Details
I. General information
NPI: 1215491972
Provider Name (Legal Business Name): BHS PHYSICIANS NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/28/2019
Last Update Date: 05/30/2023
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3100 N LEE TREVINO DR STE B
EL PASO TX
79936-2116
US
IV. Provider business mailing address
PO BOX 5730
BELFAST ME
04915-5700
US
V. Phone/Fax
- Phone: 915-533-7465
- Fax: 915-534-1128
- Phone: 207-323-7336
- Fax: 888-864-4428
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIAN
RASMUS
Title or Position: VP, CFO TPR TENET
Credential:
Phone: 469-893-2532