PREMISE HEALTH OF TEXAS MEDICAL P.A NPI 1437469335

NPI Information

PREMISE HEALTH OF TEXAS MEDICAL, P.A is a primary care clinic center in Plano, TX. PREMISE HEALTH OF TEXAS MEDICAL, P.A NPI is 1437469335. The provider is registered as an organization entity type.
The provider Is Doing Business As Plano Health Center.

The provider's business location address is:

5400 LEGACY DR
PLANO, TX
ZIP 75024-105
Phone: (281) 251-3049
Fax: (281) 251-4095

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 45D1099089 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2010 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:

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