NPI age
5 years
Enumerated 2020-09-10
● Active
Type 1 · Individual
Jennifer Urbani Premo, EDDIAGNOSTICIANMED
Premo is 1 of 15 clinic/center providers in Dallas and 1 of 159 in Texas.
Primary specialty
Clinic/Center
Plus 3 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-09-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 159 active clinic/center providers in Texas.
NPI age
5 years
≈ at median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
3
In the 49% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-09Enumerated in NPPES
2020
2026
Where they practice
Practice location
4125 Beechwood Ln
Dallas, TX 752201905
Mailing address
4125 Beechwood Ln
Dallas, TX 752201905
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
-
Case ManagementAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
-
Community/Behavioral HealthA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new clinic/center provider has been added in Dallas in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.