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General NPI Number Information
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NPI Number | 1730843871
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Entity Type | Organization
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Legal Business Name | ELITE MEDICAL GROUP
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 10/25/2021
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Provider Practice Location Address
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Address Line | 4151 SOUTHWEST FWY STE 410
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City | HOUSTON
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State | TX
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Zip | 77027-7320
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Country | US
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Telephone | 832-455-9794
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Fax | 832-202-2898
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Provider Business Mailing Address
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Address Line | 4151 SOUTHWEST FWY STE 410
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City | HOUSTON
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State | TX
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Zip | 77027-7320
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Country | US
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Telephone | 832-455-9794
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Fax | 832-202-2898
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Authorized Official
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Title or Position | OWNER
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Name | AMAD SABER
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Credential |
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Telephone | 832-455-9794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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