Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Prestige Family Medicine PA

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1063711968

Prestige Family Medicine PA provides Geriatric Medicine (Internal Medicine) Physician services in Irving, Texas. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

701 Tuscan Dr Ste 145
Irving, TX 75039-3839 Not confirmed with CMS for 15 years — call before visiting
Phone: (972) 484-7500
Fax: (972) 241-4496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1063711968
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nisha Pathak — Office Manager · (972) 484-7500
NPI enumeratedMarch 18, 2011
Last updated in NPPESMay 19, 2011
Mailing address701 Tuscan Dr Ste 145, Irving, TX 75039-3839

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