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LIFESTYLE MEDICINE CLINIC
NPI 1114566023
Internal Medicine in Katy, TX

Active since December 26, 2019CLIA 45D2277501 · Waiver
26077 NELSON WAY STE 1202, KATY, TX 77494(713) 785-1272(713) 785-1295 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2023, Jan 8, 2020, Dec 26, 2019 (3 updates tracked since 2019).

About Lifestyle Medicine Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESTYLE MEDICINE CLINIC (NPI 1114566023) is a healthcare organization registered as an internal medicine in Katy, Texas and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Mirna Aurora Puesan, Director, as its authorized official.

NPPES Registry Identity

NPI1114566023
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePERFECT LIFESTYLE
Location Address26077 NELSON WAY STE 1202Katy, TX 77494-6698
Mailing Address25722 Kingsland Blvd Ste 205Katy, TX 77494-2643 · (713) 785-1272 · Fax (713) 785-1295
Phone(713) 785-1272
Fax(713) 785-1295
Organization SubpartYesParent: Jose Acevedo, Md, Pa
Authorized OfficialMirna Aurora PuesanDirector · (713) 785-1272
Enumeration DateDecember 26, 2019
Last NPPES UpdateMarch 21, 20233 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
✔ NPI 1114566023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
26077 NELSON WAY STE 1202, Katy, TX 77494
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Other Names 1

Doing Business AsLifestyle Medicine Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2277501

Lifestyle Medicine Clinic · Katy, TX
Active · expires Feb 27, 2027
CLIA Number45D2277501
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorMirna Puesan
Laboratory Phone(713) 785-1272
Laboratory LocationLifestyle Medicine Clinic26077 Nelson Way, Suite 1202, Katy, TX 77494
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MIRNA AURORA PUESAN MD
Internal Medicine
26077 NELSON WAY STE 1202
KATY, TX 77494
Fort Bend County (713) 785-1272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Perfect Lifestyle's NPI number?

The NPI number for Perfect Lifestyle is 1114566023. It was assigned to this organization in the NPPES registry on December 26, 2019. The provider is doing business as Lifestyle Medicine Clinic.

Where is Perfect Lifestyle located?

Perfect Lifestyle is located at 26077 Nelson Way Ste 1202, Katy, TX 77494. The listed phone number is (713) 785-1272.

What is Perfect Lifestyle's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Perfect Lifestyle hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2277501) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Perfect Lifestyle accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Perfect Lifestyle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Perfect Lifestyle was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.