Prestige Internal Medicine, Pllc | |
411 Travis Ln Prosper TX 75078-8699 | |
(516) 404-4688 | |
Not Available |
Full Name | Prestige Internal Medicine, Pllc |
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Speciality | Internal Medicine |
Location | 411 Travis Ln, Prosper, Texas |
Authorized Official Name and Position | Haroon S Khan (OWNER) |
Authorized Official Contact | 5164044688 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prestige Internal Medicine, Pllc 411 Travis Ln Prosper TX 75078-8699 Ph: (516) 404-4688 | Prestige Internal Medicine, Pllc 411 Travis Ln Prosper TX 75078-8699 Ph: (516) 404-4688 |
NPI Number | 1710478714 |
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Provider Enumeration Date | 05/24/2018 |
Last Update Date | 05/24/2018 |
Identifier | Type | State | Issuer |
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1710478714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | P6657 (Texas) | Primary |
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