# PREMIER TOTAL HEALTHCARE PA

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

## Provider details

- **NPI number:** 1457639304
- **Authorized official:** PATRICIA HAWKINS (OFFICE MANAGER)
- **Authorized official phone:** (972) 702-9310

## Contact information

- **Practice address:** 13601 PRESTON RD, STE 575E, DALLAS, TX 75240-4911
- **Practice address phone:** (972) 702-9310
- **Practice address fax:** (888) 767-7517
- **Mailing address:** PO BOX 797604, DALLAS, TX 75379-7604
- **Mailing address phone:** (972) 702-9310
- **Mailing address fax:** (888) 767-7517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2011
- **Last updated:** 07/26/2011
