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THE WELLNESS CENTER POWERED BY PREMISE HEALTH
NPI 1154068013
Clinic/Center - Multi-Specialty in Fort Worth, TX

Active since May 12, 2022CLIA Certified · 3 labs
1 LOCKHEED BLVD, FORT WORTH, TX 76108(972) 603-3000(972) 603-2922 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2022, May 12, 2022 (2 updates tracked since 2022).

About The Wellness Center Powered By Premise Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE WELLNESS CENTER POWERED BY PREMISE HEALTH (NPI 1154068013) is a healthcare organization registered as a multi-specialty in Fort Worth, Texas and active in the NPI registry since May 2022. The organization holds 3 active CLIA laboratory certificates and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1154068013
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF TEXAS MEDICAL, P.A
Location Address1 LOCKHEED BLVDFort Worth, TX 76108-3619
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(972) 603-3000
Fax(972) 603-2922
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateMay 12, 2022
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1154068013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1 LOCKHEED BLVD, Fort Worth, TX 76108
Open in Google Maps ↗

Other Names 1

Doing Business AsThe Wellness Center Powered By Premise Health

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2263950

Premise Health Of Texas Medical, PA · Fort Worth, TX
Active · expires Jul 6, 2028
CLIA Number45D2263950
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorDai Nguyen
Laboratory Phone(972) 603-3000
Laboratory LocationPremise Health Of Texas Medical, PA1 Lockheed Blvd Mail Zone 1864 Bldg 200, Fort Worth, TX 76108
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2263807

Premise Health Of Texas Medical, PA · Fort Worth, TX
Active · expires Jul 5, 2028
CLIA Number45D2263807
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2026
Certificate Expiration DateJuly 5, 2028
Laboratory DirectorDai Nguyen
Laboratory Phone(972) 603-3000
Laboratory LocationPremise Health Of Texas Medical, PA1 Lockheed Blvd Mail Zone 6802 Bldg 4, Fort Worth, TX 76108
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D1041868

Premise Health Of Texas Medical, PA · Grand Prairie, TX
Active · expires Jun 14, 2027
CLIA Number45D1041868
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorMonica Bravo
Laboratory Phone(972) 603-3000
Laboratory LocationPremise Health Of Texas Medical, PA1701 W Marshall Dr M/S Med-00, Grand Prairie, TX 75051
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SELECT PHYSICAL THERAPY HOLDINGS, INC.
Clinic/Center (Physical Therapy)
1 LOCKHEED BLVD
FORT WORTH, TX 76108
Tarrant County (817) 777-2288
ONSITE OCCMED PA
Clinic/Center (Urgent Care)
1 LOCKHEED BLVD
FORT WORTH, TX 76108
Tarrant County (817) 763-7234
BIR JV LLP
Clinic/Center (Physical Therapy)
1 LOCKHEED BLVD
FORT WORTH, TX 76108
Tarrant County (717) 972-1100
ROBERT JOSEPH SIGLIN APRN
Nurse Practitioner (Family)
1 LOCKHEED BLVD, BUILDING 200/1/B22
FORT WORTH, TX 76108
Tarrant County (817) 777-8183

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premise Health Of Texas Medical, P.A's NPI number?

The NPI number for Premise Health Of Texas Medical, P.A is 1154068013. It was assigned to this organization in the NPPES registry on May 12, 2022. The provider is doing business as The Wellness Center Powered By Premise Health.

Where is Premise Health Of Texas Medical, P.A located?

Premise Health Of Texas Medical, P.A is located at 1 Lockheed Blvd, Fort Worth, TX 76108. The listed phone number is (972) 603-3000.

What is Premise Health Of Texas Medical, P.A's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Texas Medical, P.A hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Premise Health Of Texas Medical, P.A was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.