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General NPI Number Information
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NPI Number | 1427617554
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Entity Type | Organization
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Legal Business Name | SBH TEXAS PHYSICIANS SERVICES, INC
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Dates
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Enumeration Date | 06/12/2019
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 8295 TOURNAMENT DR
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City | MEMPHIS
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State | TN
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Zip | 38125-8906
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Country | US
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Telephone | 901-969-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 8295 TOURNAMENT DR STE 201
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City | MEMPHIS
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State | TN
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Zip | 38125-8913
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Country | US
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Telephone | 901-969-3111
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Fax |
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Authorized Official
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Title or Position | CORPORATE COMPLIANCE COORDINATOR
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Name | AMANDA LOVELACE-GALLO
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Credential |
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Telephone | 901-969-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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