Organization
PREMISE HEALTH OF TEXAS MEDICAL, P.A
Active
Other names
AW Texas, Inc. Occupational Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
565 BOLTON RD RM 1108, MARION, TX 78124-6046
(830) 420-9820
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
09/28/2021
Last updated
08/23/2022
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