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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).

About Premise Health Of Texas Medical Pa NPPES

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

PREMISE HEALTH OF TEXAS MEDICAL PA (NPI 1871201962), doing business as Live Well At Citi - San Antonio, is a healthcare organization registered as a multi-specialty in San Antonio, Texas and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1871201962
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF TEXAS MEDICAL PA
Location Address100 CITIBANK DR, BLDG 3, FLOOR MSan Antonio, TX 78245
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(210) 357-8230
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateNovember 8, 2022
Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1871201962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
100 CITIBANK DR, San Antonio, TX 78245
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Other Names 1

Doing Business AsLive Well At Citi - San Antonio

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.

Reviews for PREMISE HEALTH OF TEXAS MEDICAL PA

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Frequently Asked Questions

What is PREMISE HEALTH OF TEXAS MEDICAL PA's NPI number?

The NPI number assigned to this healthcare provider is 1871201962, enumerated as an "organization" on November 08, 2022.

Where is the provider located?

The provider is located at 100 CITIBANK DR BLDG 3, FLOOR M SAN ANTONIO, TX 78245 and the phone number is (210) 357-8230.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.