PREMIER HEALTH CARE GROUP PLLC NPI 1174511513

NPI Information

NPI: 1174511513
Provider Name: PREMIER HEALTH CARE GROUP PLLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 45D0496203

Address:
5050 CRENSHAW RD STE 100
PASADENA, TX
ZIP 77505
Phone: (832) 399-4141
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PREMIER HEALTH CARE GROUP PLLC is a multi-specialty clinic center in Pasadena, TX. PREMIER HEALTH CARE GROUP PLLC NPI is 1174511513. The provider is registered as an organization entity type.

The provider's business location address is:

5050 CRENSHAW RD STE 100
PASADENA, TX
ZIP 77505-139
Phone: (832) 399-4141
Fax: (281) 487-8824

The provider's authorized official is Karen Ann Fitzsimmons .
The authorized official title is Practice Administrator and has the following contact phone number (832) 399-4141.

The CLIA number assigned to this NPI record is 45D0496203 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 12/8/2021.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	093873001	MEDICAID	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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