Texas Premium Medical LLC

NPI #1316720444 in Addison, Texas

Provider Information

NPI Number: 1316720444
Entity Type: Organization
Organization Name: Texas Premium Medical LLC
Primary Specialty: Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Enumeration Date: Aug 14, 2023
Last Updated: Aug 14, 2023

Practice Location

Address: 4643 WESTGROVE DR
City: Addison
State: Texas
ZIP Code: 75001-3216
Phone: (214) 370-3535

Authorized Official

Name: DR. CHESTER J DONNALLY III, MD
Title: MANAGER
Phone: (214) 370-3535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X	Primary

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