NPI 1013433028

Premium Enterprises INC

Organisation Hospitalist Physician Mustang, OK

Practice location

Address: 1104 E State Highway 152 Unit 1, Mustang, OK 73064-5116
Phone: (855) 541-2862
Fax: (405) 716-4808
Mailing address: 15509 Juniper Dr, Edmond, OK 73013-8841

Authorised official

Name: Muhammad Ghias
Title: Owner
Phone: (855) 541-2862

Registered specialties

Hospitalist Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 22910 (OK)

Other Hospitalist providers in Oklahoma →

Registry record

NPI: 1013433028
Entity type: Organization
NPI issued: 22 Aug 2017
Record last updated: 22 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.