Provider Demographics
NPI:1619623063
Name:PREMIER ENDOCRINOLOGY PLLC
Entity Type:Organization
Organization Name:PREMIER ENDOCRINOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAMRATA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-470-0157
Mailing Address - Street 1:22136 WESTHEIMER PKWY STE 605
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-8296
Mailing Address - Country:US
Mailing Address - Phone:346-999-2130
Mailing Address - Fax:754-203-0832
Practice Address - Street 1:7103 S PEEK RD UNIT B1220
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3498
Practice Address - Country:US
Practice Address - Phone:346-999-2130
Practice Address - Fax:754-203-0832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center