Healthcare Provider Details
I. General information
NPI: 1609796812
Provider Name (Legal Business Name): ELEGANT HEALTH RESOURCES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
838 S SHERMAN ST
DENVER CO
80209-4039
US
IV. Provider business mailing address
2150 S ILIOS PL
TUCSON AZ
85713-4193
US
V. Phone/Fax
- Phone: 303-228-6119
- Fax:
- Phone: 303-228-6119
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MONEEB
UL HAQ
Title or Position: OWNER
Credential:
Phone: 303-228-6119