Executive Outcomes Pc

LBN: Executive Outcomes Pc
Executive Outcomes Pc is an health care organization with primary practice located at 379 Hospital Blvd , Jackson TN 38305-2080. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Executive Outcomes Pc can be contacted via phone (731) 661-6330, or through Banez, Monico P via phone (731) 234-5717.

Contact Information

Primary practice address
379 Hospital Blvd Jackson TN 38305-2080
Phone: (731) 661-6330
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Banez, Monico P Doctor of Medicine (MD)
Phone: (731) 234-5717

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1821352808
LBN Legal business name Executive Outcomes Pc
DBA Doing business as
Authorized official Banez, Monico P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2012
Last updated Aug 14th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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