PREMISE HEALTH OF TEXAS MEDICAL P.A NPI 1396226700

NPI Information

  • NPI: 1396226700
  • Provider Name: PREMISE HEALTH OF TEXAS MEDICAL, P.A
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: BELL GRAND PRAIRIE HEALTH SERVICES CLINIC
  • CLIA Number: 45D2159137
  • Address: 1700 N STATE HIGHWAY 360
    GRAND PRAIRIE, TX
    ZIP 75050
  • Phone: (817) 381-0980

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NPI Details

PREMISE HEALTH OF TEXAS MEDICAL, P.A is a multi-specialty clinic center in Grand Prairie, TX. PREMISE HEALTH OF TEXAS MEDICAL, P.A NPI is 1396226700. The provider is registered as an organization entity type.
The provider Is Doing Business As Bell Grand Prairie Health Services Clinic.

The provider's business location address is:

1700 N STATE HIGHWAY 360
GRAND PRAIRIE, TX
ZIP 75050-926
Phone: (817) 381-0980
Fax: (817) 381-0986

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 45D2159137 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2018 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
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: 11/21/2025

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