Premier Iom LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PREMIER IOM LLC

Practice address

17194 Preston Rd Ste 120
Dallas, TX 75248-1203

Phone

(972) 733-9955

Fax

(972) 733-9935

NPI assigned

Mar 4, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Zach Lenz

Title

Ceo

Phone

(972) 733-9955

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1356701288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17194 PRESTON RD STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481203",
            "telephone_number": "972-733-9955",
            "fax_number": "972-733-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17194 PRESTON RD STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481203",
            "telephone_number": "972-733-9955",
            "fax_number": "972-733-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER IOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "LENZ",
        "authorized_official_first_name": "ZACH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-733-9955"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.