Organization
PREMISE HEALTH OF TEXAS MEDICAL, P.A
Active
Organization
PREMISE HEALTH OF TEXAS MEDICAL, P.A
Active
Other names
TLS San Antonio Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEIZMAN (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
1 LONE STAR PASS BLDG 24, SAN ANTONIO, TX 78264-3636
(615) 468-3188
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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