PREMISE HEALTH OF TEXAS MEDICAL P.A NPI 1881252450

NPI Information

PREMISE HEALTH OF TEXAS MEDICAL, P.A is a multi-specialty clinic center in Plano, TX. PREMISE HEALTH OF TEXAS MEDICAL, P.A NPI is 1881252450. The provider is registered as an organization entity type.
The provider Is Doing Business As Premise Health Wellness Center - Plano Nearsite.

The provider's business location address is:

6835 COMMUNICATIONS PKWY STE 510
PLANO, TX
ZIP 75024-033
Phone: (469) 545-1993
Fax: (469) 545-1996

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (615) 479-9063.

The CLIA number assigned to this NPI record is 45D2166947 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2019 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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