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Contact Information

PAVILION BEHAVIORAL HEALTH LLC
99855 HIGHWAY 82
VIAN, OK74962-6073
 Phone: 479-353-2368
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PAVILION BEHAVIORAL HEALTH LLC

NPI Number 1992539472
LBN Legal business name PAVILION BEHAVIORAL HEALTH LLC
Authorized official DZAIDI DAUD - (CEO/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2024
Last updated 08/28/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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