BAE SYSTEMS AUSTIN TX
NPI 1639760085
Clinic/Center - Occupational Medicine in Austin, TX

Active since January 28, 2021
6500 TRACOR LN, AUSTIN, TX 78725(512) 929-2327(512) 929-4990 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 23, 2022, Jan 28, 2021 (2 updates tracked since 2021).

  • Organization
  • Clinic/Center
  • Occupational Medicine

About BAE SYSTEMS AUSTIN TX

This page provides the complete NPI Profile along with additional information for Bae Systems Austin Tx, a provider established in Austin, Texas operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1639760085 assigned on January 2021. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Bae Systems Austin Tx. The authorized official of this NPI record is Dr. Jon Leizman Md (President)

NPI
1639760085 Verify this NPI
Provider Legal Name
PREMISE HEALTH OF TEXAS MEDICAL, P.A
Other Organization Name
BAE SYSTEMS AUSTIN TX
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6500 TRACOR LN AUSTIN, TX 78725
Location Phone
(512) 929-2327
Location Fax
(512) 929-4990
Mailing Address
5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-28-2021
Last Update Date
08-23-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Occupational Medicine

Taxonomy Code
261QX0100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JON LEIZMAN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(216) 479-9063

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639760085, enumerated as an "organization" on January 28, 2021.

The provider is located at 6500 TRACOR LN AUSTIN, TX 78725 and the phone number is (512) 929-2327.

Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.