PREMIUM CHOICE PHYSICIANS NPI 1548824121

NPI Information

  • NPI: 1548824121
  • Provider Name: PREMIUM CHOICE PHYSICIANS
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 5 GROGANS PARK DR STE 203
    THE WOODLANDS, TX
    ZIP 77380
  • Phone: (940) 488-4290

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NPI Details

PREMIUM CHOICE PHYSICIANS is a general practice in The Woodlands, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PREMIUM CHOICE PHYSICIANS NPI is 1548824121. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 GROGANS PARK DR STE 203
THE WOODLANDS, TX
ZIP 77380-191
Phone: (940) 488-4290
Fax: (940) 536-0539

The provider's authorized official is David Dejesus .
The authorized official title is President and has the following contact phone number (817) 751-1811.

The enumeration date for this NPI number is 4/29/2019 and was last updated on 1/24/2023.

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
1163WH0200XRegistered NurseHome HealthNo
2207QA0505XFamily MedicineAdult MedicineNo
3207X00000XOrthopaedic SurgeryNo
42081P2900XPhysical Medicine & RehabilitationPain MedicineNo
5208VP0000XPain MedicinePain MedicineNo
62251G0304XPhysical TherapistGeriatricsNo
72278G1100XRespiratory Therapist, CertifiedGeneral CareNo
82278H0200XRespiratory Therapist, CertifiedHome HealthNo
9363L00000XNurse PractitionerNo
10208D00000XGeneral PracticeYes

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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