| NPI | 1770121311 |
|---|---|
| Doing Business As | PRESTIGE MEDICAL LLC. |
| Entity Type | Organization |
| Authorized Contact | BRIAN NORRIS Owner 985-377-8909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |