| Premise Health Of Texas Medical, P.a | |
|
565 Bolton Rd Rm 1108 Marion TX 78124-6046 | |
| (830) 420-9820 | |
| Not Available |
| Full Name | Premise Health Of Texas Medical, P.a |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 565 Bolton Rd Rm 1108, Marion, 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 Brentwood TN 37027-7048 Ph: () - | Premise Health Of Texas Medical, P.a 565 Bolton Rd Rm 1108 Marion TX 78124-6046 Ph: (830) 420-9820 |
| NPI Number | 1750053898 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750053898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Gray Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 204 N Lavernia, Marion, TX 78124 Phone: 830-200-0131 Fax: 210-600-5943 |