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
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