PREMISE HEALTH OF TEXAS MEDICAL PA
NPI 1871201962
Clinic/Center - Multi-Specialty in San Antonio, TX

Active since November 08, 2022CLIA 45D1052461 · Waiver
100 CITIBANK DR, BLDG 3, FLOOR M, SAN ANTONIO, TX 78245(210) 357-8230 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 5, 2026, Jul 25, 2024, Nov 8, 2022 (3 updates tracked since 2022).

  • 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
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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 Multi-Specialty

Taxonomy Code
261QM1300X
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

EDWARD WILLIAM SCHWARTZ

Authorized Official Title
PRESIDENT
Authorized Official Phone
(844) 407-7557

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.