Organization
PREMISE HEALTH OF TEXAS MEDICAL, P.A
Active
Other names
BAE Systems Austin TX
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
6500 TRACOR LN, AUSTIN, TX 78725-2151
(512) 929-2327
(512) 929-4990
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
08/23/2022
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