1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Clinic Center
  6. NPI Profile

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
Open in Google Maps ↗

Other Names 1

Doing Business AsLive Well At Citi - San Antonio

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1052461

Premise Health Of Texas Medical PA · San Antonio, TX
Active · expires Mar 26, 2028
CLIA Number45D1052461
Laboratory TypeIndustrial
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorEdwin Lui
Laboratory Phone(210) 357-8230
Laboratory LocationPremise Health Of Texas Medical PA100 Citibank Drive, San Antonio, TX 78245
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.