PREMISE HEALTH OF TEXAS MEDICAL, P.A is a multi-specialty clinic center in Irving, TX. PREMISE HEALTH OF TEXAS MEDICAL, P.A NPI is 1417455346. The provider is registered as an organization entity type.
The provider Is Doing Business As Live Well At Citi Medical Clinic.
The provider's business location address is:
6400 LAS COLINAS BLVD
IRVING, TX
ZIP 75039-900
Phone: (972) 655-5000
Fax: (972) 655-5517
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 45D2144599 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/25/2018 and was last updated on 8/23/2022.