ELITE EXAMINER'S LLC NPI 1245714914

NPI Information

ELITE EXAMINER'S LLC is a point of service in Fort Worth, TX. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. ELITE EXAMINER'S LLC NPI is 1245714914. The provider is registered as an organization entity type.

The provider's business location address is:

7210 CASCADE CT APT 817
FORT WORTH, TX
ZIP 76137-406
Phone: (214) 554-0595
Fax: (817) 900-7219

The provider's authorized official is Nishi Davis-dickerson .
The authorized official title is Ceo and has the following contact phone number (214) 554-0595.

The CLIA number assigned to this NPI record is 45D2245262 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2018 and was last updated on 9/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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