PSI PREMIER SPECIALTIES, INC. (NPI# 1033490776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033490776 |
| Entity Type | Organization |
| Organization Name | PSI PREMIER SPECIALTIES, INC. |
| Other Organization Name | MEDICAL EXPRESS, PSI |
| Practice Address |
1825 Troup Hwy Tyler TX 75701-5870 |
| Mailing Address |
8800 Shoal Creek Blvd Ste B Austin TX 78757-6818 |
| Practice Telephone | 9035266300 |
| Practice Fax Number | 9035266301 |
| Mailing Telephone | 5123711700 |
| Mailing Fax Number | 5123711754 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |
| Authorized Official Name | MR. ED L STEVENS (CEO) |
| Authorized Official Telephone | 5123711700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 1000690 | TX | Suppliers |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 101372 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BOARD OF ORTHOTICS AND PROSTHETICS LICENSE | 101372 | 01 |
| Other Name | Type Code |
|---|---|
| Medical Express, PSI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922428549 | Psi Premier Specialties, Inc. | Durable Medical Equipment & Medical Supplies | 9220 N Garnett Rd, Ste E, Owasso, OK 74055-4465 | 2014-04-22 |
| 1346584091 | Psi Premier Specialties, Inc. | Durable Medical Equipment & Medical Supplies | 10854 Vandale St, San Antonio, TX 78216-3625 | 2012-11-19 |
| 1316238710 | Psi Premier Specialties, Inc. | Durable Medical Equipment & Medical Supplies | 1701 W. Ben White Blvd, Ste #162, Austin, TX 78704 | 2011-04-20 |
| 1831101948 | Psi Premier Specialties, Inc. | Prosthetic/Orthotic Supplier | 8800 Shoal Creek Blvd, Austin, TX 78757-6818 | 2006-08-13 |
| 1831470475 | Psi Premier Specialties, Inc. | Durable Medical Equipment & Medical Supplies | 11886 Greenville Ave, Ste 114, Dallas, TX 75243-0584 | 2011-09-08 |
| 1760792998 | Psi Premier Specialties, Inc. | Durable Medical Equipment & Medical Supplies | 21 Spurs Ln, Suite 260, San Antonio, TX 78240-1669 | 2010-10-21 |
| Street Address |
1825 TROUP HWY |
| City | TYLER |
| State | TX |
| Zip Code | 75701-5870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073141354 | Positive Hair Restoration | Prosthetic/Orthotic Supplier | 100 Independence Pl Ste 309, Tyler, TX 75703-1328 | 2020-03-31 |
| 1467763532 | Frazier Optical Inc. | Prosthetic/Orthotic Supplier | 2531 E 5th St, Tyler, TX 75701-3544 | 2010-06-23 |
| 1679748131 | Neal's Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 701 Turtle Creek Dr, Tyler, TX 75701-1834 | 2008-04-25 |
| 1699967067 | Hedgecock Artificial Limb Co., Inc | Prosthetic/Orthotic Supplier | 1917 S Beckham Ave, Tyler, TX 75701-4453 | 2007-08-09 |
| 1275676942 | Kimberly B. Kennedy, Inc. | Prosthetic/Orthotic Supplier | 1733 Troup Hwy, Tyler, TX 75701-5869 | 2007-02-14 |
| 1215978424 | Steven G Mccullough and David W Holt Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 1120 Medical Dr, Tyler, TX 75701-2109 | 2006-06-09 |
| 1447250055 | Laurie Dowell | Prosthetic/Orthotic Supplier | 704 S Bois D Arc Ave, Tyler, TX 75701-1503 | 2005-07-26 |
| 1962013011 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 1819 Troup Hwy, Tyler, TX 75701-5870 | 2020-08-12 |
| 1932363751 | Steven G Mccullough | Prosthetic/Orthotic Supplier | 1120 Medical Dr, Tyler, TX 75701-2109 | 2008-07-10 |
| 1780624148 | Prosthetic-orthotic Associates of East Texas, Inc. | Prosthetic/Orthotic Supplier | 1122 E Front St, Tyler, TX 75702-8414 | 2006-06-07 |
| Find all providers in TYLER | ||||
Please comment or provide details below to improve the information on PSI PREMIER SPECIALTIES, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.