MEDI- ELITE PC NPI 1528330792

NPI Information

  • NPI: 1528330792
  • Provider Name: MEDI- ELITE, PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 2721 CENTRAL DR
    BEDFORD, TX
    ZIP 76021
  • Phone: (682) 703-8881

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NPI Details

MEDI- ELITE, PC is a primary care clinic center in Bedford, TX. MEDI- ELITE, PC NPI is 1528330792. The provider is registered as an organization entity type.

The provider's business location address is:

2721 CENTRAL DR
BEDFORD, TX
ZIP 76021-810
Phone: (682) 703-8881
Fax: (706) 203-3259

The provider's authorized official is Mahalia L Jackson-butler .
The authorized official title is Ceo and has the following contact phone number (214) 277-2243.

The enumeration date for this NPI number is 2/3/2012 and was last updated on 11/24/2024.

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
1261QP2300XClinic/CenterPrimary CareYes
2311ZA0620XCustodial Care FacilityAdult Care HomeAP117597TEXASNo
3314000000XSkilled Nursing FacilityAP117597TEXASNo
4363L00000XNurse PractitionerAP117597TEXASNo
5363LA2200XNurse PractitionerAdult HealthAP117597TEXASNo
6363LC1500XNurse PractitionerCommunity HealthAP117597TEXASNo
7363LP2300XNurse PractitionerPrimary CareAP117597TEXASNo

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: 3/30/2025

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