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Organization
PREMIER SPECIALTY PHYSICIANS
Active
Organization
PREMIER SPECIALTY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DEJESUS (CEO)
(281) 645-0207
Entity
Organization
Contact information
Practice address
5 GROGANS PARK DR STE 203, THE WOODLANDS, TX 77380-2191
(281) 645-0207
(281) 645-0214
Mailing address
5 GROGANS PARK DR STE 203, THE WOODLANDS, TX 77380-2191
(281) 645-0207
(281) 645-0214
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/06/2018
Last updated
02/11/2021
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