Perfect Lifestyle

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PERFECT LIFESTYLE

Doing business as

Lifestyle Medicine Clinic

Practice address

26077 Nelson Way Ste 1202
Katy, TX 77494-6698

Phone

(713) 785-1272

Fax

(713) 785-1295

NPI assigned

Dec 26, 2019

Organization subpart

Yes

Parent organization

JOSE ACEVEDO, MD, PAAs reported in NPPES

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

Authorized official

Name

Dr. Mirna Aurora Puesan, MDNPI 1629292594

Title

Director

Phone

(713) 785-1272

Specialties & licenses 1

Addresses

Other names 1

• Lifestyle Medicine Clinic Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Perfect Lifestyle

  dba Life's Perfect 7

  • Occupational Medicine Clinic/Center
  • Katy, TX
  • NPI 1417545047

  7012339799

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Perfect Lifestyle

  dba Life's Perfect 7

  • Occupational Medicine Clinic/Center
  • Katy, TX
  • NPI 1417545047

  O20200706002737

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22839/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mirna Aurora Puesan, MD

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1629292594
  Medicare reassignment NPD Authorized official
• Tania Bedolla

  • Health Educator
  • Katy, TX
  • NPI 1255106944
  NPD

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1114566023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25722 KINGSLAND BLVD STE 205",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942643",
            "telephone_number": "713-785-1272",
            "fax_number": "713-785-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26077 NELSON WAY STE 1202",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946698",
            "telephone_number": "713-785-1272",
            "fax_number": "713-785-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT LIFESTYLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSE ACEVEDO, MD, PA",
        "enumeration_date": "2019-12-26",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "PUESAN",
        "authorized_official_first_name": "MIRNA",
        "authorized_official_middle_name": "AURORA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-785-1272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpuesan@oemedicine.com",
            "affiliation": "N",
            "endpointDescription": "my work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "26077 Nelson Way Ste 1202",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774946698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drpuesan@myperfectlifestyle.org",
            "affiliation": "N",
            "endpointDescription": "my personal business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "26077 Nelson Way Ste 1202",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774946698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lifestyle Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noe S Perez
• Sara Louisa Perez
• Shauna Perez
• Taimi Perez
• Tania Marisa Perez
• Perfect Lifestyle (Life's Perfect 7)
• Alyssa Perkins
• Angel Mauricio Perozo
• Cameron Perry
• Justin Perry

• Internal Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.