| NPI | 1730506452 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | JUANA SLACK Medical Billing Specialist 480-646-9086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2025-01-31 |