# PRESTIGE HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548682750
- **Authorized official:** MRS. ANGELA L FLEENOR RN, MSN, FNP-BC (CEO)
- **Authorized official phone:** (806) 470-5450

## Contact information

- **Practice address:** 4235 FERNSIDE DR, PASADENA, TX 77505-4226
- **Practice address phone:** (806) 470-5450
- **Mailing address:** 4235 FERNSIDE DR, PASADENA, TX 77505-4226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 706578 | TX | Yes |

## Other

- **Enumeration date:** 01/08/2014
- **Last updated:** 01/08/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1457789497 | INDIVIDUAL NPI | TX |