Premise Health of Texas Medical, P.a

NPI #1760962096 in Newark, Texas

Provider Information

NPI Number: 1760962096
Entity Type: Organization
Organization Name: Premise Health of Texas Medical, P.a
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Aug 16, 2018
Last Updated: Aug 23, 2022

Practice Location

Address: 14355 MORRIS DIDO RD
City: Newark
State: Texas
ZIP Code: 76071-9501
Phone: (817) 252-3680

Authorized Official

Name: DR. JON LEIZMAN, MD
Title: PRESIDENT
Phone: (216) 479-9063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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