MEDICARE: PREMIER INTERNISTS OF NORTH TEXAS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1144572124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER INTERNISTS OF NORTH TEXAS, PLLC

Provider Business Mailing Address
First Line	:	3427 TRINITY MILLS RD STE 800
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-6203
Country	:	US
Telephone Number	:	908-748-4480
Fax Number	:	307-459-6599

Provider Business Practice Location Address
First Line	:	4325 N JOSEY LN
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4635
Country	:	US
Telephone Number	:	908-748-4480
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KETAN PATEL
Credential	:
Telephone Number	:	908-748-4480

Provider Enumeration Date	:	10/15/2012
Last Update Date	:	05/14/2026

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