Prestige Medical P a

NPI #1174654750 in Manvel, Texas

Provider Information

NPI Number: 1174654750
Entity Type: Organization
Organization Name: Prestige Medical P a
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Mar 8, 2007
Last Updated: Feb 1, 2013

Practice Location

Address: 3945 COUNTY ROAD 58
City: Manvel
State: Texas
ZIP Code: 77578-2903
Phone: (281) 412-6606

Authorized Official

Name: MR. JEEVAN R SANTHA
Title: PRACTICE MANAGER
Phone: (281) 923-4112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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