Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Premise Health of Texas Medical, PA

Organization Family Medicine Physician · NPI 1750456000

Premise Health of Texas Medical, PA provides Family Medicine Physician services in Tyler, Texas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

Hwy 31 West FM206
Tyler, TX 75709
Phone: (903) 592-3257
Fax: (903) 592-3447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1750456000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Leizman — President · (216) 479-9063
Other names Goodyear Family Medical Center; Goodyear Family Medical Center
NPI enumeratedNovember 22, 2006
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022
Mailing address5500 Maryland Way Ste 120, Brentwood, TN 37027-4993

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