# PREMIER PROVIDERS MEDCLINC,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316583545
- **Authorized official:** SNODA A ALAHMAD (OWNER)
- **Authorized official phone:** (210) 550-0116

## Contact information

- **Practice address:** 9130 WURZBACH RD STE 102, SAN ANTONIO, TX 78240-1070
- **Practice address phone:** (210) 550-0116
- **Mailing address:** 3627 GREEN BREEZE, SAN ANTONIO, TX 78247-3017
- **Mailing address phone:** (210) 550-0116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2019
- **Last updated:** 11/22/2019