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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