Prestige Family Medicine PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

PRESTIGE FAMILY MEDICINE PA

Practice address

701 Tuscan Dr Ste 145
Irving, TX 75039-3839

Phone

(972) 484-7500

Fax

(972) 241-4496

NPI assigned

Mar 18, 2011

Last updated

May 19, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nisha Pathak

Title

Office Manager

Phone

(972) 484-7500

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1063711968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TUSCAN DR STE 145",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393839",
            "telephone_number": "972-484-7500",
            "fax_number": "972-241-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TUSCAN DR STE 145",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393839",
            "telephone_number": "972-484-7500",
            "fax_number": "972-241-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "PATHAK",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-484-7500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gail Press
• Preston Medical Solutions LLC
• Mackenzie Elizabeth Preston, CF-SLP
• Jamienne Young Price, D.C.
• Ernesto Prida
• Prime Neurology PLLC

• Geriatric Medicine (Internal Medicine) Physician in Irving, TX
• Providers in Irving, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.