| Premise Health Of Texas Medical, P.a | |
|
100 W. Le Roy Street Room 144 Three Rivers TX 78071 | |
| (361) 786-1890 | |
| (361) 786-1885 |
| Full Name | Premise Health Of Texas Medical, P.a |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 100 W. Le Roy Street Room 144, Three Rivers, 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 100 W. Le Roy Street Room 144 Three Rivers TX 78071 Ph: (361) 786-1890 |
| NPI Number | 1417774373 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417774373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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