NPI 1245571835

Elite Primary Care

Organisation Preferred Provider Organization Dallas, TX

Practice location

Address: 4305 Pinnacle Point Dr, Dallas, TX 75211-1311
Phone: (972) 720-9943
Fax: (972) 386-7474
Mailing address: PO Box 802834, Dallas, TX 75380-2834

Authorised official

Name: Claudia Castano
Title: Manager
Phone: (972) 720-9943

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence K4647 (TX)

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Registry record

NPI: 1245571835
Entity type: Organization
NPI issued: 7 Mar 2013
Record last updated: 7 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.