| NPI | 1386467595 |
|---|---|
| Doing Business As | PRESTIGE MEDICAL CENTER AND WELLNESS SPA LLC |
| Entity Type | Organization |
| Authorized Contact | ARIEL HERNANDEZ Owner/Provider 281-810-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-12-03 |