Prism Genomic Medicine Inc.

Primary specialty

Genetics Clinic/CenterTaxonomy code 261QG0250X

Legal business name

PRISM GENOMIC MEDICINE INC.

Doing business as

Prism Genomic Medicine In.

Practice address

202 Industrial Blvd Ste 202
Sugar Land, TX 77478-2700

Phone

(832) 273-9804

NPI assigned

Nov 22, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Xiaoyun Anna Shen, MD

Title

President

Phone

(832) 273-9804

Specialties & licenses 1

Addresses

Other names 1

• Prism Genomic Medicine In. Doing business as

Locations

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1265207807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 INDUSTRIAL BLVD STE 202",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782700",
            "telephone_number": "832-273-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 INDUSTRIAL BLVD STE 202",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782700",
            "telephone_number": "832-273-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM GENOMIC MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "XIAOYUN",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-273-9804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prism Genomic Medicine In.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.