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SANCTUM HEALTH PARTNERS LLC NPI 1649950296


NPI Information

NPI: 1649950296
Provider Name: SANCTUM HEALTH PARTNERS, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2121 MIDWAY RD STE 145
CARROLLTON, TX
ZIP 75006
Phone: (972) 851-1022
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SANCTUM HEALTH PARTNERS, LLC is a clinic center in Carrollton, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SANCTUM HEALTH PARTNERS, LLC NPI is 1649950296. The provider is registered as an organization entity type.

The provider's business location address is:

2121 MIDWAY RD STE 145
CARROLLTON, TX
ZIP 75006-263
Phone: (972) 851-1022

The provider's authorized official is Jacob Johnson .
The authorized official title is President/coo and has the following contact phone number (214) 298-3298.

The enumeration date for this NPI number is 7/19/2023 and was last updated on 7/19/2023.


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
1261QH0700XClinic/CenterHearing and SpeechNo
2261QM1300XClinic/CenterMulti-SpecialtyNo
3261QP2000XClinic/CenterPhysical TherapyNo
4103K00000XBehavior AnalystNo
5261QA3000XClinic/CenterAugmentative CommunicationNo
6261QD1600XClinic/CenterDevelopmental DisabilitiesNo
7261QH0100XClinic/CenterHealth ServiceNo
8261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13930695MEDICAIDTEXAS

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: 5/5/2024

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