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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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