PREMISE HEALTH OF TEXAS MEDICAL, P.A is a multi-specialty clinic center in Fort Worth, TX. PREMISE HEALTH OF TEXAS MEDICAL, P.A NPI is 1952756355. The provider is registered as an organization entity type.
The provider Is Doing Business As Premise Health Clinic.
The provider's business location address is:
4255 AMON CARTER BLVD
HDQ BUILDING 2
FORT WORTH, TX
ZIP 76155-603
Phone: (817) 963-1200
Fax: (817) 963-6378
The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 45D2121455 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/4/2016 and was last updated on 8/23/2022.