Organization
PREMIER MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIANNE JETT (PRESIDENT)
(800) 782-5666
Entity
Organization
Contact information
Practice address
1200 W WALNUT HILL LN # 2210, IRVING, TX 75038-3029
(800) 782-5666
(800) 782-1055
Mailing address
1200 W WALNUT HILL LN STE 2210, IRVING, TX 75038-3006
(800) 782-5666
(800) 782-1055
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001009
TX
332B00000X
Durable Medical Equipment & Medical Supplies
74603
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203.002909
DME
IL
01
—
69001818A
DME-LICENSE-INDIANA
IN
Enumeration date
11/14/2006
Last updated
12/04/2025
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