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

Jennifer Urbani Premo, EDDIAGNOSTICIANMED

Individual provider Case Management Agency · NPI 1083229611

Jennifer Urbani Premo, EDDIAGNOSTICIANMED is a Case Management Agency in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020
Specialties on file
4

Practice location Address checks out

4125 Beechwood Ln
Dallas, TX 75220-1905
Phone: (214) 532-6726
Show map & directions

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

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X (TX)
Case Management Agency Taxonomy 251B00000X (TX)
Community/Behavioral Health Agency Taxonomy 251S00000X (TX)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X (TX)

Record details

NPI number1083229611
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDDIAGNOSTICIANMED
Sole proprietorYes
NPI enumeratedSeptember 10, 2020
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020

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