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

Texas Premium Medical LLC

Organization Orthopaedic Surgery of the Spine Physician · NPI 1316720444

Texas Premium Medical LLC is an Orthopaedic Surgery of the Spine Physician in Addison, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4643 Westgrove Dr
Addison, TX 75001-3216
Phone: (214) 370-3535
Fax: (469) 248-0083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X

Record details

NPI number1316720444
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chester Donnally — Manager · (214) 370-3535
Other names Texas Premium Medical Llc
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023
Mailing address17051 Dallas Pkwy Ste 400, Addison, TX 75001-7108

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