Premier Housecall Physicians LLC

Organization Active NPI Internal Medicine Physician · Garland, TX

NPI 1376814616 · NPPES record last updated May 25, 2016

Key facts

NPI
1376814616
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
M4412 (TX)
Legal business name
PREMIER HOUSECALL PHYSICIANS LLC
Practice address
1015 W Centerville Rd
#118
Garland, TX 75041-5914
Phone
(214) 766-1955
Fax
(972) 808-6035
NPI assigned
Jan 18, 2012
Organization subpart
No

Authorized official

Name
Dr. Chukwuma C Osuagwu, MD
Title
Ceo
Phone
(214) 766-1955

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1015 W Centerville Rd
Garland, TX 75041
Phone (469) 872-5392

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X M4412 TX Yes
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1015 W Centerville Rd
#118
Garland, TX 75041-5914

Mailing address

1015 W Centerville Rd
#118
Garland, TX 75041-5914
Phone (214) 766-1955

Other identifiers

IdentifierTypeStateIssuer
TXB148065OtherTXMEDICARE PART B

Other providers in Garland, TX

All providers in Garland, TX · Internal Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.