Premise Medical, PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PREMISE MEDICAL, PLLC

Doing business as

Premise Medical Center

Practice address

3250 W Pleasant Run Rd Ste 130
Lancaster, TX 75146-1069

Phone

(469) 297-5222

Fax

(855) 651-0605

NPI assigned

May 12, 2021

Last updated

Jun 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Rubin, MD

Title

President

Phone

(469) 297-5222

Specialties & licenses 3

Addresses

Other names 1

• Premise Medical Center Doing business as

Locations

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1922682244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W PLEASANT RUN RD STE 130",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461069",
            "telephone_number": "469-297-5222",
            "fax_number": "855-651-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W PLEASANT RUN RD STE 130",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461069",
            "telephone_number": "469-297-5222",
            "fax_number": "855-651-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-297-5222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premise Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premise Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Lancaster, TX
• Providers in Lancaster, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.