ELITE NP CLINIC PLLC


Address: 412 E Pleasant Run Rd Ste B, Desoto, TX 75115-3936
Phone: 6823259617

ELITE NP CLINIC PLLC (NPI# 1023532348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023532348
Entity Type Organization
Organization Name ELITE NP CLINIC PLLC
Practice Address 412 E Pleasant Run Rd Ste B
Desoto
TX 75115-3936
Practice Telephone 6823259617
Enumeration Date 2017-07-28
Last Update Date 2018-03-17
Authorized Official Name TAMARA WASHINGTON (OWNER)
Authorized Official Telephone 6823259617
Authorized Official Credential FNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
733 Snapdragon Lane, Desoto, TX 75115 (214) 404-2020

Office Location

Street Address 412 E PLEASANT RUN RD STE B
City DESOTO
State TX
Zip Code 75115-3936

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679962286 Tamara Angeline Washington Nurse Practitioner 412 E Pleasant Run Rd Ste B, Desoto, TX 75115-3936 2015-01-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548860257 Emeka Abazie Dds Pa Dentist 1001 N. Beckley, Suite 304, Desoto, TX 75115 2020-10-30
1407453384 Heather Mcdowell Massage Therapist 100 Bob White St # 3, Desoto, TX 75115 2020-10-05
1295201580 Daniel Max & Marcandrea, LLC Optometrist 1309 E. Pleasant Run Rd, Desoto, TX 75115 2018-10-15
1316432180 Texas Home Health Group of De Soto, LLC Home Health 911 York Drive, Suite 203, De Soto, TX 75115 2018-06-25
1033606694 Dental Health Associates of Texas, PC Dentist 1001 N Beckley, Desoto, TX 75115 2018-04-19
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1124534888 Herlonda Dotson Counselor 620 Candelila Drive, Desoto, TX 75115 2017-12-18
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1699290577 Dlb Pharmacy LLC Pharmacy 1801 N Hampton, Suite 340, Desoto, TX 75115 2017-08-11
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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Competitor

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City DESOTO
Zip Code 75115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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