MEDICARE: PRIMEPATH MEDICAL ASSOCIATES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1619802246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMEPATH MEDICAL ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	1039 IMPERIAL BLVD STE 302
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-3102
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1039 IMPERIAL BLVD STE 302
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-3102
Country	:	US
Telephone Number	:	323-317-2375
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MASHA RESMAN
Credential	:	MD
Telephone Number	:	323-317-2375

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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