Provider Demographics
NPI:1497102990
Name:HEALTHWORKS MED GROUP OF TEXAS DARLINGTON P A
Entity Type:Organization
Organization Name:HEALTHWORKS MED GROUP OF TEXAS DARLINGTON P A
Other - Org Name:PREMISE HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HINITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:844-407-7557
Mailing Address - Street 1:5500 MARYLAND WAY STE 120
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4993
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:TERMINAL A39, RAMP LEVEL
Practice Address - Street 2:DALLAS FORT WORTH INTERNATIONAL AIRPORT
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75261
Practice Address - Country:US
Practice Address - Phone:972-425-7295
Practice Address - Fax:972-425-2495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty