ELITE WOMEN'S WELLNESS LLC NPI 1285414565

NPI Information

NPI: 1285414565
Provider Name: ELITE WOMEN'S WELLNESS LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
935 YORK DR
DESOTO, TX
ZIP 75115
Phone: (972) 296-4777
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ELITE WOMEN'S WELLNESS LLC is an obstetrics gynecology in Desoto, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ELITE WOMEN'S WELLNESS LLC NPI is 1285414565. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

935 YORK DR
DESOTO, TX
ZIP 75115-043
Phone: (972) 296-4777
Fax: (972) 297-5499

The provider's authorized official is Pankaj Nakarani .
The authorized official title is Chief Operating Officer and has the following contact phone number (909) 479-9260.

The enumeration date for this NPI number is 10/3/2023 and was last updated on 1/18/2024.

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
1	207V00000X	Obstetrics & Gynecology				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036227901	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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