Organization
PREMISE HEALTH OF TEXAS MEDICAL, P.A
Active
Organization
PREMISE HEALTH OF TEXAS MEDICAL, P.A
Active
Other names
City of Denton
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
3537 S I 35 E STE 317, DENTON, TX 76210-6870
(940) 808-0906
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-7048
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
08/23/2022
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