Provider Demographics
NPI:1841655115
Name:BD HEALTH, INC.
Entity type:Organization
Organization Name:BD HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ED
Authorized Official - Middle Name:
Authorized Official - Last Name:MASHAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-612-0668
Mailing Address - Street 1:2400 AUGUSTA DR
Mailing Address - Street 2:SUITE 326
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4922
Mailing Address - Country:US
Mailing Address - Phone:713-581-8792
Mailing Address - Fax:713-481-0240
Practice Address - Street 1:2400 AUGUSTA DR
Practice Address - Street 2:SUITE 326
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4922
Practice Address - Country:US
Practice Address - Phone:713-581-8792
Practice Address - Fax:713-481-0240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103TC0700X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty