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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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	Primary
1	163WH0200X	Registered Nurse	Home Health	No
2	207QA0505X	Family Medicine	Adult Medicine	No
3	207X00000X	Orthopaedic Surgery		No
4	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	No
5	208VP0000X	Pain Medicine	Pain Medicine	No
6	2251G0304X	Physical Therapist	Geriatrics	No
7	2278G1100X	Respiratory Therapist, Certified	General Care	No
8	2278H0200X	Respiratory Therapist, Certified	Home Health	No
9	363L00000X	Nurse Practitioner		No
10	208D00000X	General Practice		Yes

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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