Healthcare Provider Details

I. General information

NPI: 1568718500
Provider Name (Legal Business Name): SAXBY HEALTHCARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2012
Last Update Date: 07/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3016 SE LOOP 820
FORT WORTH TX
76140-1015
US

IV. Provider business mailing address

1131 SPINNAKER CT
IRVING TX
75063-5459
US

V. Phone/Fax

Practice location:
  • Phone: 972-331-1500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIANA IKHILE
Title or Position: ADMINISTRATOR
Credential:
Phone: 972-331-1500