Premierhealth Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PREMIERHEALTH FAMILY MEDICINE PLLC

Practice address

601 Omega Dr Ste 203
Arlington, TX 76014-2075

Phone

(469) 445-0779

Fax

(214) 292-9626

NPI assigned

Mar 21, 2018

Organization subpart

No

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

Authorized official

Name

Prysca MbiNPI 1568760981

Title

Owner

Phone

(469) 445-0779

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: pryscambi@premierhealthfamilymedicine.novoclinical.phimailbox.com

Practitioners 1

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

• Prysca N Mbi, MD

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1568760981
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1982108312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OMEGA DR STE 203",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142075",
            "telephone_number": "469-445-0779",
            "fax_number": "214-292-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OMEGA DR STE 203",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142075",
            "telephone_number": "469-445-0779",
            "fax_number": "214-292-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERHEALTH FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "MBI",
        "authorized_official_first_name": "PRYSCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-445-0779"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premier Torch Healthcare Services Inc
• Premium Pharmacy Services, Inc.
• Linda Prentice, M.D.
• Annette Irene Presley, RDN, LD
• Pressley Ridge
• Anne Nicolette Prevou, LCSW

• Family Medicine Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.