PREMIUM CHOICE PHYSICIANS; NPI #1548824121

Contact Information

PREMIUM CHOICE PHYSICIANS

5 GROGANS PARK DR STE 203
THE WOODLANDS, TX 77380-2191

Phone: 940-488-4290
Fax: 940-536-0539
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Adult Medicine	207QA0505X	08	Physician/Family Practice
General Care	2278G1100X
Geriatrics	2251G0304X	65	Physical Therapist in Private Practice
Home Care	2278H0200X
Home Health	163WH0200X
Nurse Practitioner	363L00000X	50	Nurse Practitioner
Orthopaedic Surgery	207X00000X	02	Physician/General Surgery
Pain Medicine	2081P2900X	25	Physician/Physical Medicine and Rehabilitation
Pain Medicine	208VP0000X	72	Physician/Pain Management

Indicates primary specialty

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NPI Profile & details for PREMIUM CHOICE PHYSICIANS

NPI Number	`1548824121`
LBN Legal business name	PREMIUM CHOICE PHYSICIANS
Authorized official	DAVID DEJESUS - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/29/2019
Last updated	01/24/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PREMIUM CHOICE PHYSICIANS

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NPI Profile & details for PREMIUM CHOICE PHYSICIANS

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