Premier Provider Health Pa

LBN: Premier Provider Health Pa
Premier Provider Health Pa is an health care organization with primary practice located at 4316 James Casey St Ste B-100 , Austin TX 78745-1142. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Premier Provider Health Pa can be contacted via phone (512) 444-4325, or through Pham, Han Ngoc via phone (214) 274-1507.

Contact Information

Primary practice address
4316 James Casey St Ste B-100 Austin TX 78745-1142
Phone: (512) 444-4325
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pham, Han Ngoc Doctor of Medicine (MD)
Phone: (214) 274-1507

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X M0223 Texas

Profile Details

NPI number 1013397066
LBN Legal business name Premier Provider Health Pa
DBA Doing business as
Authorized official Pham, Han Ngoc Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2015
Last updated Jun 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013397066 NPPES
Texas MEDICAID 187308502

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