=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700722188
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ELITECOMM LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/27/2026
-----------------------------------------------------
Last Update Date | 04/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8100 CYPRESSWOOD DR APT 437
-----------------------------------------------------
City | SPRING
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77379-7188
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-615-1096
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8100 CYPRESSWOOD DR APT 437
-----------------------------------------------------
City | SPRING
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77379-7188
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-615-1096
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | TAUQIR AHMED
-----------------------------------------------------
Credential | EMPLOYEE
-----------------------------------------------------
Telephone | 832-615-1096
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251K00000X
-----------------------------------------------------
Taxonomy Name | Public Health or Welfare Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------