Organization
PERMIAN PREMIER HEALTH SERVICES INC
Active
Other names
STEWARD MEDICAL GROUP OF TEXAS
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN A DEMKE (CEO)
(615) 467-1072
Entity
Organization
Contact information
Practice address
1002 TEXAS BLVD STE 322, TEXARKANA, TX 75501-5118
(903) 791-1878
(903) 791-1882
Mailing address
PO BOX 24573, BELFAST, ME 04915-4496
(855) 660-0300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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