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PREMISE HEALTH OF TEXAS MEDICAL P.A NPI 1497087191


NPI Information

NPI: 1497087191
Provider Name: PREMISE HEALTH OF TEXAS MEDICAL, P.A

Doing Business As: TOYOTA FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 45D2273060

Address:
1 LONE STAR PASS, BLDG 46
SAN ANTONIO, TX
ZIP 78264
Phone: (210) 263-5700
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PREMISE HEALTH OF TEXAS MEDICAL, P.A is a multi-specialty clinic center in San Antonio, TX. PREMISE HEALTH OF TEXAS MEDICAL, P.A NPI is 1497087191. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Toyota Family Health Center.

The provider's business location address is:

1 LONE STAR PASS, BLDG 46
SAN ANTONIO, TX
ZIP 78264-650
Phone: (210) 263-5700
Fax: (210) 263-5701

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 45D2273060 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2010 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364SF0001XClinical Nurse SpecialistFamily HealthNo
2261QM1300XClinic/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: 4/28/2024

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