PHOENIX ABA SERVICES NPI 1194472787

NPI Information

NPI: 1194472787
Provider Name: PHOENIX ABA SERVICES
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
400 BOURLAND RD APT 1222
KELLER, TX
ZIP 76248
Phone: (817) 948-9367
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PHOENIX ABA SERVICES is a multi-specialty clinic center in Keller, TX. PHOENIX ABA SERVICES NPI is 1194472787. The provider is registered as an organization entity type.

The provider's business location address is:

400 BOURLAND RD APT 1222
KELLER, TX
ZIP 76248-797
Phone: (817) 948-9367

The provider's authorized official is Mariah Land .
The authorized official title is Owner and has the following contact phone number (817) 948-9367.

The enumeration date for this NPI number is 3/3/2022 and was last updated on 3/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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