MEDICARE: ELITE WOMENS HEALTHCARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	P8372	TX

General Provider Information

NPI Number	:	1295284719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE WOMENS HEALTHCARE PLLC

Provider Business Mailing Address
First Line	:	4640 9TH AVE
Second Line	:	101
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-5819
Country	:	US
Telephone Number	:	409-983-1066
Fax Number	:

Provider Business Practice Location Address
First Line	:	4640 9TH AVE
Second Line	:	101
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-5819
Country	:	US
Telephone Number	:	409-983-1066
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	ROJINA JASANI
Credential	:	MD
Telephone Number	:	347-922-0447

Provider Enumeration Date	:	09/26/2016
Last Update Date	:	09/26/2016

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