Pbh Medical, Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
PBH MEDICAL, LLC	1649788373	2018-01-16

The organization Pbh Medical, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1649788373. Registration indicates Pbh Medical, Llc is a provider of access to mental health/behavioral health providers services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Psychiatry, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Psychiatry, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) Access to Mental Health/Behavioral Health Providers (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Child & Adolescent Psychiatry, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, )

Other Names:

• Prime Behavioral Health

Entity Type	Organization
Provider Organization	PBH MEDICAL, LLC
Other Provider Organization	PRIME BEHAVIORAL HEALTH
Practice Office Address	120 RIVER OAKS DR STE 140 SOUTHLAKE, TX US
Practice Office Telephone	8177788884
Practice Office Fax	8173856540
Mailing Address	120 RIVER OAKS DR STE 140 SOUTHLAKE, TX 760926882 US
Business Telephone	8177788884
Business Fax	8173856540
Authorized Official	VISHAL PANKAJKUMAR SHAH, MEDICAL DIRECTO 8177788884

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