PREMISE HEALTH OF TEXAS MEDICAL P.A NPI 1255005534

NPI Information

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 1255005534. The provider is registered as an organization entity type.
The provider Is Doing Business As City Of Austin Health & Wellness Clinic.

The provider's business location address is:

5202 E BEN WHITE BLVD STE 500
AUSTIN, TX
ZIP 78741-316
Phone: (512) 643-4050
Fax: (512) 857-1484

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (615) 468-6270.

The enumeration date for this NPI number is 8/2/2021 and was last updated on 1/23/2023.

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:

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