| NPI | 1134901960 |
|---|---|
| Doing Business As | PREMIERE SPORTS AND FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BARBARA JORDAN VP, Revenue Cycle Management 713-512-7613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |