Healthcare Provider Details

I. General information

NPI: 1619891819
Provider Name (Legal Business Name): ELEVATE FAMILY MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 COVE TERRACE SHOPPING CTR
COPPERAS COVE TX
76522-2261
US

IV. Provider business mailing address

336 COVE TERRACE SHOPPING CTR
COPPERAS COVE TX
76522-2261
US

V. Phone/Fax

Practice location:
  • Phone: 254-987-0774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DAWN MARIE PESSA
Title or Position: OWNER
Credential: APRN, FNP-BC
Phone: 254-987-0774