OrganizationActive
Passport Health Holdings, LLC
NPI 1467878595 · Public Health & General Preventive Medicine Physician · Las Vegas, NV
Provider details
- NPI number
- 1467878595
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Fishburn, Chief Operating Officer(480) 646-9020
- License
- 261Q0000X (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
8766 S. Maryland Pkwy
Suite 104
Las Vegas, NV 89123-6700
Phone: (877) 358-8648
Fax: (877) 877-6875
Approximate (ZIP-level) locationGet directions
Mailing address
668 N 44th St
Phoenix, AZ 85008-6507
Other names (DBA / former)
- Doing business as
- Passport Health
Registry dates
- Enumerated
- 2014-03-13
- Last updated
- 2022-04-01
- Certified
- 2022-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.