| Premise Health Of Texas Medical, P.a | |
|
6460 Las Colinas Blvd Fl 1 Irving TX 75039-2900 | |
| (972) 655-5000 | |
| Not Available |
| Full Name | Premise Health Of Texas Medical, P.a |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6460 Las Colinas Blvd Fl 1, Irving, Texas |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2614799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Texas Medical, P.a 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Texas Medical, P.a 6460 Las Colinas Blvd Fl 1 Irving TX 75039-2900 Ph: (972) 655-5000 |
| NPI Number | 1811605819 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811605819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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