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

Premise Health of Texas Medical, PA

Organization Family Medicine Physician · NPI 1750456000

Premise Health of Texas Medical, PA is a Family Medicine Physician in Tyler, Texas. Registered with an NPI since 2006.

In the registry since
2006
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

Hwy 31 West FM206
Tyler, TX 75709
Phone: (903) 592-3257
Fax: (903) 592-3447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1750456000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Leizman — President · (216) 479-9063
Other names Goodyear Family Medical Center; Goodyear Family Medical Center
NPI enumeratedNovember 22, 2006
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022
Mailing address5500 Maryland Way Ste 120, Brentwood, TN 37027-4993

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