Organization · Type 2 NPI

Premise Health of Texas Medical PA

Multi-Specialty Clinic/Center · Southlake, TX

NPI number 1336651074 Active

Practice location

3120 Sabre Dr
Southlake, TX 76092-2103

Call (682) 605-5140 Map

Fax (682) 605-5149

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1336651074

Premise Health of Texas Medical PA's National Provider Identifier is 1336651074, issued on Nov 3, 2017. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Southlake, TX. The record was last updated on Mar 13, 2026.