GOODYEAR FAMILY MEDICAL CENTER
NPI 1750456000
Family Medicine in Tyler, TX

Active since November 22, 2006
HWY 31 WEST FM206, TYLER, TX 75709(903) 592-3257(903) 592-3447 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, Aug 22, 2020 (2 updates tracked since 2020).

About Goodyear Family Medical Center NPPES

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

GOODYEAR FAMILY MEDICAL CENTER (NPI 1750456000) is a healthcare organization registered as a family medicine in Tyler, Texas and active in the NPI registry since November 2006. The organization lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1750456000
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMISE HEALTH OF TEXAS MEDICAL, P.A
Location AddressHWY 31 WEST FM206Tyler, TX 75709
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Fax(903) 592-3447
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateNovember 22, 2006
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
NPI 1750456000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
HWY 31 WEST FM206, Tyler, TX 75709

Other Names 1

Doing Business AsGoodyear Family Medical Center

Other Identifiers 1

Other0069HJTX · Practice Bcbs Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Family Medicine
HWY 31 WEST FM206
TYLER, TX 75709

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 1750456000. It was assigned to this organization in the NPPES registry on November 22, 2006. The provider is doing business as Goodyear Family Medical Center.

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

Premise Health Of Texas Medical, P.A is located at Hwy 31 West Fm206, Tyler, TX 75709. The listed phone number is (903) 592-3257.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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.