NPI | 1316720444 |
---|---|
Doing Business As | TEXAS PREMIUM MEDICAL LLC |
Entity Type | Organization |
Authorized Contact | CHESTER J DONNALLY Manager 214-370-3535 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
Enumeration Date | 2023-08-14 |
Last Update Date | 2023-08-14 |