PRESTIGE MEDICAL P A
NPI 1174654750
Family Medicine in Manvel, TX

Active since March 08, 2007CLIA 45D1068395 · Waiver
3945 COUNTY ROAD 58, MANVEL, TX 77578(281) 412-6606(281) 489-0233 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prestige Medical P A NPPES

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

PRESTIGE MEDICAL P A (NPI 1174654750) is a healthcare organization registered as a family medicine in Manvel, Texas and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Jeevan R Santha, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1174654750
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRESTIGE MEDICAL P A
Location Address3945 COUNTY ROAD 58Manvel, TX 77578-2903
Mailing Address3945 County Road 58Manvel, TX 77578-2903 · (281) 412-6606 · Fax (281) 489-0233
Fax(281) 489-0233
Organization SubpartNo
Authorized OfficialJeevan R SanthaPractice Manager · (281) 923-4112
Enumeration DateMarch 8, 2007
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
NPI 1174654750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · L7625
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3945 COUNTY ROAD 58, Manvel, TX 77578

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 45D1068395

Prestige Medical PA · Manvel, TX
Active · expires May 9, 2027
CLIA Number45D1068395
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorLekshmi Nair
Laboratory Phone(281) 412-6606
Laboratory LocationPrestige Medical PA3945 Cr 58 (croix Road), Manvel, TX 77578
CLIA data matches this NPI record on: 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.

Family Medicine
3945 COUNTY ROAD 58
MANVEL, TX 77578

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 Prestige Medical P A's NPI number?

The NPI number for Prestige Medical P A is 1174654750. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Prestige Medical P A located?

Prestige Medical P A is located at 3945 County Road 58, Manvel, TX 77578. The listed phone number is (281) 412-6606.

What is Prestige Medical P A's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Prestige Medical P A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1068395) is associated with this NPI, valid through May 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prestige Medical P A was last updated on February 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.