Organization
PREMIER REGENERATIVE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM SEWELL M.D. (OWNER)
(305) 613-2194
Entity
Organization
Contact information
Practice address
1710 RUFE SNOW DRIVE, SUITE 120, KELLER, TX 76248-5501
(469) 933-3519
(501) 232-2198
Mailing address
P.O. BOX 56555, LITTLE ROCK, AR 72215-6555
(469) 933-3519
(501) 232-2198
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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