| Premise Health Of Texas Medical, P.a | |
|
1301 Loop 197 N Texas City TX 77590 | |
| (409) 641-8134 | |
| (409) 641-8132 |
| Full Name | Premise Health Of Texas Medical, P.a |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1301 Loop 197 N, Texas City, Texas |
| Authorized Official Name and Position | Jonathan B Leizman (PRESIDENT) |
| Authorized Official Contact | 6154686270 |
| 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 1301 Loop 197 N Texas City TX 77590 Ph: (409) 641-8134 |
| NPI Number | 1053138917 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053138917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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