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General NPI Number Information
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NPI Number | 1811820038
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Entity Type | Organization
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Legal Business Name | ELITE URGENT CARE PLLC
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Dates
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Enumeration Date | 06/06/2026
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Last Update Date | 06/06/2026
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Provider Practice Location Address
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Address Line | 5760 WALDEN RD STE 242
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City | BEAUMONT
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State | TX
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Zip | 77707-5515
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Country | US
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Telephone | 409-853-1885
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Fax | 866-397-8681
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Provider Business Mailing Address
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Address Line | 85 INTERSTATE 10 N STE 110
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City | BEAUMONT
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State | TX
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Zip | 77707-2560
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Country | US
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Telephone | 409-853-1885
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Fax | 866-397-8681
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Authorized Official
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Title or Position | OWNER
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Name | SHOLANDA JACOBS
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Credential |
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Telephone | 337-315-7927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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