| Premise Health Of Texas Medical, P.a | |
|
14355 Morris Dido Rd Newark TX 76071-9501 | |
| (817) 252-3680 | |
| (817) 585-4323 |
| Full Name | Premise Health Of Texas Medical, P.a |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 14355 Morris Dido Rd, Newark, Texas |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Texas Medical, P.a 5500 Maryland Way Ste 400 Brentwood TN 37027-7048 Ph: () - | Premise Health Of Texas Medical, P.a 14355 Morris Dido Rd Newark TX 76071-9501 Ph: (817) 252-3680 |
| NPI Number | 1760962096 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760962096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Wecare Tlc- Kenneth Copeland Ministries Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14355 Morris Dido Rd, Newark, TX 76071 Phone: 817-252-3680 |