| Premise Health - Ysleta | |
|
9600 Sims Dr El Paso TX 79925-7200 | |
| (915) 434-0484 | |
| (915) 435-9690 |
| Full Name | Premise Health - Ysleta |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9600 Sims Dr, El Paso, Texas |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health - Ysleta 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health - Ysleta 9600 Sims Dr El Paso TX 79925-7200 Ph: (915) 434-0484 |
| NPI Number | 1215417548 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215417548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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