Organization
PRESTIGE FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NISHA PATHAK (OFFICE MANAGER)
(972) 484-7500
Entity
Organization
Contact information
Practice address
701 TUSCAN DR STE 145, IRVING, TX 75039-3839
(972) 484-7500
(972) 241-4496
Mailing address
701 TUSCAN DR STE 145, IRVING, TX 75039-3839
(972) 484-7500
(972) 241-4496
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/18/2011
Last updated
05/19/2011
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