Prestige Medical P A in Manvel - Primary Care

Prestige Medical P A - NPI 1174654750

Prestige Medical P A is a Primary Care in Manvel, Texas. Prestige Medical P A practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Prestige Medical P A is 1174654750. The last update date is 2013-02-01.

Prestige Medical P A's current location address is 3945 County Road 58, Manvel, Texas. You can contact this provider via phone number 2814126606 and fax number 2814890233. The mailing address for Prestige Medical P A is 3945 County Road 58, Manvel, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Prestige Medical P A
Address 3945 County Road 58, Manvel, Texas
Phone Number 2814126606
Fax Number 2814890233
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRACTICE M
Authorized Official Name Santha R Jeevan
Telephone Number 2819234112

NPI Number Detail

NPI Number 1174654750
Provider Enumeration Date 2007-03-08
Last Updated Date 2013-02-01

Provider Mailing Address Detail

Address 3945 County Road 58
City Manvel
State Texas (TX)
Post Code 775782903
Phone Number 2814126606
Fax Number 2814890233

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No L7625
Definition:
Serves as the first point of contact for comprehensive healthcare services.

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FAQs about Prestige Medical P A

What is the unique identifier code issued to Prestige Medical P A by the Centers for Medicare & Medicaid Services?

The Prestige Medical P A has been assigned the NPI (National Provider Identifier) 1174654750. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Prestige Medical P A's facilities are situated?

The facilities of Prestige Medical P A are physically located at the following address: 3945 County Road 58, Manvel, TX, 775782903.

What is Prestige Medical P A's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Prestige Medical P A is Primary Care, and the taxonomy code that categorizes this field of expertise is 261Qp2300X.

On what date did the Prestige Medical P A receive its 1174654750 assignment from the Centers for Medicare & Medicaid Services?

The Prestige Medical P A was assigned its 1174654750 by the Centers for Medicare & Medicaid Services on 2007-03-08.

As of what date were the Prestige Medical P A's details last updated?

The information pertaining to the Prestige Medical P A, including its address, specialty, and other details, was most recently updated on 2013-02-01.

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