NPI Code Detail JSON Logo

1295079465 NPI number — ELITE MEDICAL & MOBILITY, LLC

NPI Number: 1295079465
Health Care Provider/Practitioner: ELITE MEDICAL & MOBILITY, LLC

Information about “1295079465” NPI (ELITE MEDICAL & MOBILITY, LLC) exists in 1295079465 in HTML format HTML  |  1295079465 in plain Text format TXT  |  1295079465 in PDF (Portable Document Format) PDF  |  1295079465 in an XML format XML  formats.

NPI Number : 1295079465 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295079465",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ELITE MEDICAL & MOBILITY, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11812 COUNTY ROAD 1104",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CELINA",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75009-2776",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-697-4851",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7111 ELM ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRISCO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75034-4234",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-872-1880",
    "PracticeLocationAddressFaxNumber": "214-380-9393",
    "EnumerationDate": "11/12/2012",
    "LastUpdateDate": "04/13/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ETZEL",
    "AuthorizedOfficialFirstName": "PAMELA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "214-872-1880",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332BC3200X",
          "TaxonomyName": "Customized Equipment (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BD1200X",
          "TaxonomyName": "Dialysis Equipment & Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BP3500X",
          "TaxonomyName": "Parenteral & Enteral Nutrition Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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