Provider Demographics
NPI:1558922989
Name:PREMIER MEDICINE LLC
Entity Type:Organization
Organization Name:PREMIER MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:DEERE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-560-0201
Mailing Address - Street 1:5015 SHED RD STE 400
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-5585
Mailing Address - Country:US
Mailing Address - Phone:318-584-7301
Mailing Address - Fax:318-716-3366
Practice Address - Street 1:5015 SHED RD STE 400
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-5585
Practice Address - Country:US
Practice Address - Phone:318-584-7301
Practice Address - Fax:318-716-3366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty