MEDICARE: ELEVATE NEURO DX, 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	246Z00000X	Other Specialist/Technologist

General Provider Information

NPI Number	:	1609727635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATE NEURO DX, PLLC

Provider Business Mailing Address
First Line	:	2300 N HASKELL AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-3703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 N HASKELL AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-3703
Country	:	US
Telephone Number	:	520-249-4466
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS
Name	:	KIMBERLY ABRAMS
Credential	:
Telephone Number	:	520-249-4466

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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