Organization · Type 2 NPI
Passport Health PC
Health Service Clinic/Center · Research Triangle Park, NC
NPI number
1154693695
Active
Practice location
100 Park Dr, Suite 201
Research Triangle Park, NC 27709-0165
Fax (919) 481-0455
Mailing address
8450 Chapel Hill Rd, Suite 205
Cary, NC 27513-4577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 200001186 (NC) |
Health Service Clinic/Center: Definition to come...
About NPI 1154693695
Passport Health PC's National Provider Identifier is 1154693695, issued on Jan 30, 2012. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Research Triangle Park, NC. The record was last updated on Jan 30, 2012.