Organization
DBACK 5
Active
Parent organization
PRESTIGE LABORATORY
Other names
PRESTIGE LABORATORY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESTIGE LABORATORY
Authorized official
FRANKLIN BELTRE D.P.M. (CEO)
(956) 782-6200
Entity
Organization
Contact information
Practice address
5503 MORTON RD, KATY, TX 77493-1338
(956) 782-6200
(956) 782-6202
Mailing address
409 W FM 495, SAN JUAN, TX 78589-3717
(956) 782-6200
(956) 782-6202
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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