PREMISE HEALTH OF TEXAS MEDICAL P.A NPI 1730446832

NPI Information

PREMISE HEALTH OF TEXAS MEDICAL, P.A is a general practice in Irving, 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 PREMISE HEALTH OF TEXAS MEDICAL, P.A NPI is 1730446832. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Allstate Irving.

The provider's business location address is:

8701 FREEPORT PKWY
IRVING, TX
ZIP 75063-578
Phone: (972) 915-7700
Fax: (972) 915-5665

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 enumeration date for this NPI number is 4/13/2012 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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