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General NPI Number Information
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NPI Number | 1952111353
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Entity Type | Organization
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Legal Business Name | ELEVATE TRT PLLC
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 910 LOUISIANA ST STE M145
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City | HOUSTON
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State | TX
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Zip | 77002-4916
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Country | US
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Telephone | 832-524-6862
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Fax |
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Provider Business Mailing Address
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Address Line | 2246 STERLING DR
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City | PEARLAND
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State | TX
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Zip | 77584-8545
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Country | US
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Telephone | 832-524-6862
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DESHAURIS BRADFORD
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Credential | M.D.
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Telephone | 832-524-6862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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