Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premise Health of Texas Medical, PA

Organization Multi-Specialty Clinic/Center · NPI 1417455346

Premise Health of Texas Medical, PA is a Multi-Specialty Clinic/Center in Irving, Texas. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6400 Las Colinas Blvd
Irving, TX 75039-2900
Phone: (972) 655-5000
Fax: (972) 655-5517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1417455346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Leizman — President · (216) 479-9063
Other names Live Well At Citi Medical Clinic
NPI enumeratedJanuary 25, 2018
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022
Mailing address5500 Maryland Way Ste 120, Brentwood, TN 37027-4993

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