PREMISE HEALTH OF TEXAS MEDICAL P.A NPI 1215411335

NPI Information

NPI: 1215411335
Provider Name: PREMISE HEALTH OF TEXAS MEDICAL, P.A

Doing Business As: FEDEX HEALTH CENTER IRVING

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
8700 FREEPORT PKWY STE 100
IRVING, TX
ZIP 75063
Phone: (469) 284-9510
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PREMISE HEALTH OF TEXAS MEDICAL, P.A is a multi-specialty clinic center in Irving, TX. PREMISE HEALTH OF TEXAS MEDICAL, P.A NPI is 1215411335. The provider is registered as an organization entity type.
The provider Is Doing Business As Fedex Health Center Irving.

The provider's business location address is:

8700 FREEPORT PKWY STE 100
IRVING, TX
ZIP 75063-920
Phone: (469) 284-9510
Fax: (469) 284-9570

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 9/25/2018 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			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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