Organization
PREMISE HEALTH OF TEXAS MEDICAL, P.A
Active
Other names
Triumph Vought Medical Center - Marshall
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
1601 W MARSHALL DR, GRAND PRAIRIE, TX 75051-2801
(972) 595-9900
(972) 595-9998
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
(972) 595-9900
(972) 595-9998
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2014
Last updated
08/23/2022
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