Organization
PRESTIGE ONE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY JAMAL JOHNA (OWNER/CFO)
(281) 543-5649
Entity
Organization
Contact information
Practice address
1108 GULF FWY S, SUITE #270, LEAGUE CITY, TX 77573-5100
(713) 893-3073
Mailing address
1108 GULF FWY S, SUITE #270, LEAGUE CITY, TX 77573-5100
(713) 893-3073
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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