PREMISE HEALTH OF TEXAS MEDICAL PA
NPI 1871201962
Clinic/Center - Multi-Specialty in San Antonio, TX
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 45D1052461
- CLIA Cert. Type: Industrial
- CLIA Exp. Date: 03-26-2028
About PREMISE HEALTH OF TEXAS MEDICAL PA
This page provides the complete NPI Profile along with additional information for Premise Health Of Texas Medical Pa, a provider established in San Antonio, Texas operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1871201962 assigned on November 2022. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Edward William Schwartz (President)
- NPI
- 1871201962 Verify this NPI
- Provider Name
- PREMISE HEALTH OF TEXAS MEDICAL PA
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 100 CITIBANK DR BLDG 3, FLOOR M SAN ANTONIO, TX 78245
- Location Phone
- (210) 357-8230
- Mailing Address
- 5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-08-2022
- Last Update Date
- 02-05-2026
- Code Navigator
Location Map
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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D1052461
- Facility Type
- Industrial
- Certificate Effective Date
- March 27, 2026
- Certificate Expiration Date
- March 26, 2028
- Laboratory Director
- EDWIN LUI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premise Health Of Texas Medical Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871201962, enumerated as an "organization" on November 08, 2022.
The provider is located at 100 CITIBANK DR BLDG 3, FLOOR M SAN ANTONIO, TX 78245 and the phone number is (210) 357-8230.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
