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ELITE HEALTHCARE SERVICES LLC NPI 1194317156


NPI Information

NPI: 1194317156
Provider Name: ELITE HEALTHCARE SERVICES, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2235041

Address:
190 ABNER JACKSON PKWY
LAKE JACKSON, TX
ZIP 77566
Phone: (979) 529-2520
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ELITE HEALTHCARE SERVICES, LLC is a family medicine in Lake Jackson, TX. The provider is 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. ELITE HEALTHCARE SERVICES, LLC NPI is 1194317156. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

190 ABNER JACKSON PKWY
LAKE JACKSON, TX
ZIP 77566-169
Phone: (979) 529-2520
Fax: (979) 529-2537

The provider's authorized official is Nancy Roman .
The authorized official title is President and has the following contact phone number (979) 529-2520.

The CLIA number assigned to this NPI record is 45D2235041 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2021 and was last updated on 2/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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