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PREMISE HEALTH OF TEXAS MEDICAL P.A NPI 1063151710


NPI Information

NPI: 1063151710
Provider Name: PREMISE HEALTH OF TEXAS MEDICAL, P.A

Doing Business As: BAE SYSTEMS OCCUPATIONAL HEALTH CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
825 EAST HOWARD LANE
AUSTIN, TX
ZIP 78753
Phone: (512) 929-4499
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PREMISE HEALTH OF TEXAS MEDICAL, P.A is a multi-specialty clinic center in Austin, TX. PREMISE HEALTH OF TEXAS MEDICAL, P.A NPI is 1063151710. The provider is registered as an organization entity type.
The provider Is Doing Business As Bae Systems Occupational Health Center.

The provider's business location address is:

825 EAST HOWARD LANE
AUSTIN, TX
ZIP 78753
Phone: (512) 929-4499
Fax: (512) 929-4990

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 enumeration date for this NPI number is 6/1/2022 and was last updated on 8/23/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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