Provider Demographics
NPI:1801204656
Name:PREMIER PHYSICIANS-II, P.A.
Entity Type:Organization
Organization Name:PREMIER PHYSICIANS-II, P.A.
Other - Org Name:PREMIER URGENT CARE PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:254-855-6318
Mailing Address - Street 1:9110 JORDAN LN STE 100
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-3370
Mailing Address - Country:US
Mailing Address - Phone:254-855-6318
Mailing Address - Fax:
Practice Address - Street 1:9110 JORDAN LN STE 100
Practice Address - Street 2:
Practice Address - City:WOODWAY
Practice Address - State:TX
Practice Address - Zip Code:76712-3370
Practice Address - Country:US
Practice Address - Phone:254-855-6318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care