| NPI | 1558974741 |
|---|---|
| Doing Business As | PREMISE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN THOMAS FARRAR Dir. Of Clinical Operations 469-297-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |