Organization
PSI PREMIER SPECIALTIES, INC.
Active
Organization
PSI PREMIER SPECIALTIES, INC.
Active
Other names
MEDICAL EXPRESS PSI
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS LEONARD (CEO)
(512) 371-1700
Entity
Organization
Contact information
Practice address
8900 SHOAL CREEK BLVD STE 200, AUSTIN, TX 78757-6853
(512) 371-1700
(512) 371-1754
Mailing address
8900 SHOAL CREEK BLVD STE 200, AUSTIN, TX 78757-6853
(512) 371-1700
(512) 371-1754
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0054561
TX
335E00000X
Prosthetic/Orthotic Supplier
Primary
0054561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087286301
—
TX
05
—
087286302
—
TX
01
—
515206
BCBS
TX
01
—
519693
BCBS
TX
Enumeration date
08/13/2006
Last updated
10/30/2024
Update your record
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