Healthcare Provider Details

I. General information

NPI: 1093241903
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

4710A NE STALLINGS DR
NACOGDOCHES TX
75965-1615
US

IV. Provider business mailing address

PO BOX 5730
BELFAST ME
04915-5700
US

V. Phone/Fax

Practice location:
  • Phone: 936-205-5805
  • Fax: 936-205-5997
Mailing address:
  • Phone: 207-323-7336
  • Fax: 888-864-4428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL MURPHY
Title or Position: VP
Credential:
Phone: 469-893-2000