| Prestige Medical P A | |
|
3945 County Road 58 Manvel TX 77578-2903 | |
| (281) 412-6606 | |
| (281) 489-0233 |
| Full Name | Prestige Medical P A |
|---|---|
| Speciality | Clinic/Center |
| Location | 3945 County Road 58, Manvel, Texas |
| Authorized Official Name and Position | Jeevan R Santha (PRACTICE MANAGER) |
| Authorized Official Contact | 2819234112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Medical P A 3945 County Road 58 Manvel TX 77578-2903 Ph: (281) 412-6606 | Prestige Medical P A 3945 County Road 58 Manvel TX 77578-2903 Ph: (281) 412-6606 |
| NPI Number | 1174654750 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 02/01/2013 |
| Medicare PECOS PAC ID | 7810080637 |
|---|---|
| Medicare Enrollment ID | O20070910000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174654750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | L7625 (Texas) | Primary |
| Provider Name | Lekshmi Nair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982711347 PECOS PAC ID: 7911992359 Enrollment ID: I20040416000138 |
Wound Medic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4408 Mesquite Terrace Dr, Manvel, TX 77578 Phone: 702-354-2920 |