Provider Demographics
NPI:1760508188
Name:HM PREMIER, INC.
Entity Type:Organization
Organization Name:HM PREMIER, INC.
Other - Org Name:INTERACTIVE FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOUSSAM
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:ALJAMAL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-792-7500
Mailing Address - Street 1:300 N COIT RD STE 250
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-5485
Mailing Address - Country:US
Mailing Address - Phone:972-792-7500
Mailing Address - Fax:972-792-8300
Practice Address - Street 1:300 N COIT RD STE 250
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5485
Practice Address - Country:US
Practice Address - Phone:972-792-7500
Practice Address - Fax:972-792-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00111HMedicare ID - Type Unspecified
TXU91514Medicare UPIN