PRO-ELITE MANAGEMENT SERVICES CORP NPI 1922814250

NPI Information

  • NPI: 1922814250
  • Provider Name: PRO-ELITE MANAGEMENT SERVICES CORP
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 21685 KINGSLAND BLVD
    KATY, TX
    ZIP 77450
  • Phone: (346) 594-2104

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NPI Details

PRO-ELITE MANAGEMENT SERVICES CORP is a general practice in Katy, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PRO-ELITE MANAGEMENT SERVICES CORP NPI is 1922814250. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21685 KINGSLAND BLVD
KATY, TX
ZIP 77450-512
Phone: (346) 594-2104
Fax: (346) 594-2103

The provider's authorized official is Jose Rivas .
The authorized official title is Medical Director and has the following contact phone number (941) 779-4870.

The enumeration date for this NPI number is 12/11/2024 and was last updated on 12/11/2024.

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
1208D00000XGeneral PracticeYes

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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