Organization · Type 2 NPI

Premise Health of Texas Medical PA

Clinic/Center · Mount Vernon, TX

NPI number 1558777854 Active

Practice location

955 Lowes Ln
Mount Vernon, TX 75457-9601

Call (903) 537-7500 Map

Fax (903) 537-7584

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Another provider at this address

Diane Karen Johnson, PAMedical Physician Assistant Mount Vernon, TX NPI 1366643009

NPI record

NPI: 1558777854
Entity type: Organization (Type 2)
Issued: Jul 8, 2014
Last updated: Feb 12, 2026
Status: Active

Other names

<unavail>
My Health Center at Lowe's MT Vernon · doing business as
My Health Center at Lowe's MT Vernon · doing business as

Authorized official

Edward Schwartz
President
(844) 407-7557

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1558777854

Premise Health of Texas Medical PA's National Provider Identifier is 1558777854, issued on Jul 8, 2014. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Mount Vernon, TX. The record was last updated on Feb 12, 2026.