PREMISE HEALTH OF TEXAS MEDICAL P.A NPI 1386069821

NPI Information

  • NPI: 1386069821
  • Provider Name: PREMISE HEALTH OF TEXAS MEDICAL, P.A
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Doing Business As: TRIUMPH VOUGHT MEDICAL CENTER - MARSHALL
  • Address: 1601 W MARSHALL DR
    GRAND PRAIRIE, TX
    ZIP 75051
  • Phone: (972) 595-9900

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NPI Details

PREMISE HEALTH OF TEXAS MEDICAL, P.A is a health service clinic center in Grand Prairie, TX. PREMISE HEALTH OF TEXAS MEDICAL, P.A NPI is 1386069821. The provider is registered as an organization entity type.
The provider Is Doing Business As Triumph Vought Medical Center - Marshall.

The provider's business location address is:

1601 W MARSHALL DR
GRAND PRAIRIE, TX
ZIP 75051-801
Phone: (972) 595-9900
Fax: (972) 595-9998

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 2/20/2014 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceYes

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: 3/30/2025

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