| 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 |