National Provider Identifier Database

PREMIUM CHOICE PHYSICIANS
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

PREMIUM CHOICE PHYSICIANS
5 GROGANS PARK DR STE 203
THE WOODLANDS, TX77380-2191
Phone: 940-488-4290
Fax: 940-536-0539
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Adult Medicine 207QA0505X
General Care 2278G1100X
Geriatrics 2251G0304X
Home Care 2278H0200X
Home Health 163WH0200X
Nurse Practitioner 363L00000X
Orthopaedic Surgery 207X00000X
Pain Medicine 2081P2900X
Pain Medicine 208VP0000X

* Indicates primary specialty

NPI Profile & details for PREMIUM CHOICE PHYSICIANS

NPI Number 1548824121
Legal business name
LBN
PREMIUM CHOICE PHYSICIANS
Authorized official DAVID DEJESUS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/29/2019
Last updated 01/24/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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