Organization
PRESTIGE MEDICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MCKEY NP (NURSE PRACTITIONER)
(409) 466-4690
Entity
Organization
Contact information
Practice address
8595 MEDICAL CENTER BLVD, PORT ARTHUR, TX 77640-2428
(409) 344-4466
(409) 600-8141
Mailing address
1003 NEDERLAND AVE, NEDERLAND, TX 77627-2832
(409) 466-4690
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
251J00000X
Nursing Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
05/17/2022
Last updated
05/18/2022
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