| Premier Physician Services Pllc | |
|
521 W Grand Pkwy S Katy TX 77494-8284 | |
| (832) 689-6937 | |
| Not Available |
| Full Name | Premier Physician Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 521 W Grand Pkwy S, Katy, Texas |
| Authorized Official Name and Position | Kevin T Marks (PRESIDENT) |
| Authorized Official Contact | 8326896937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Physician Services Pllc 22136 Westheimer Pkwy Ste 859 Katy TX 77450-8296 Ph: (832) 689-6937 | Premier Physician Services Pllc 521 W Grand Pkwy S Katy TX 77494-8284 Ph: (832) 689-6937 |
| NPI Number | 1467846097 |
|---|---|
| Provider Enumeration Date | 03/20/2015 |
| Last Update Date | 03/21/2023 |
| Medicare PECOS PAC ID | 4486016573 |
|---|---|
| Medicare Enrollment ID | O20230822002366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467846097 | NPI | - | NPPES |
| Provider Name | Kevin T Marks |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679585228 PECOS PAC ID: 1052311255 Enrollment ID: I20070112000114 |
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