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ELITE HEALTHCARE NORTH DALLAS NPI 1205073905


NPI Information

NPI: 1205073905
Provider Name: ELITE HEALTHCARE NORTH DALLAS

Former Legal Business Name: ELITE HEALTHCARE & REHABILITATION

Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
2655 E. BELT LINE RD
CARROLLTON, TX
ZIP 75006
Phone: (972) 417-9966
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ELITE HEALTHCARE NORTH DALLAS is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Carrollton, TX. ELITE HEALTHCARE NORTH DALLAS NPI is 1205073905. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Elite Healthcare & Rehabilitation.

The provider's business location address is:

2655 E. BELT LINE RD
CARROLLTON, TX
ZIP 75006
Phone: (972) 417-9966
Fax: (972) 417-9732

The provider's authorized official is Jeffrey Lee Hicken .
The authorized official title is Doctor and has the following contact phone number (972) 417-9966.

The enumeration date for this NPI number is 1/16/2009 and was last updated on 8/14/2015.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorTX9941TEXASNo
2261QP2000XClinic/CenterPhysical TherapyPT1107050TEXASNo
3111NR0400XChiropractorRehabilitationDC9941TEXASNo
4261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)DC9941TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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