Premise Health Clinic

LBN: Premise Health Of Texas Medical, P.A
Premise Health Clinic is an health care organization with primary practice located at 4255 Amon Carter Blvd Hdq Building 2, Fort Worth TX 76155-2603. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Premise Health Of Texas Medical, P.A can be contacted via phone (817) 963-1200, or through Leizman, Jon via phone (216) 479-9063.

Contact Information

Primary practice address
4255 Amon Carter Blvd Hdq Building 2 Fort Worth TX 76155-2603
Phone: (817) 963-1200
Fax: (817) 963-6378
Website:
Map and Directions
Authorized official contact:
Name: Leizman, Jon Doctor of Medicine (MD)
Phone: (216) 479-9063

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1952756355
LBN Legal business name Premise Health Of Texas Medical, P.A
DBA Doing business as Premise Health Clinic
Authorized official Leizman, Jon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2016
Last updated Aug 23rd, 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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