# ELITE MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023248234
- **Authorized official:** DR. CHARLES CRANE MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (214) 221-2580

## Contact information

- **Practice address:** 7920 BELT LINE RD, SUITE \# 120, DALLAS, TX 75254-8145
- **Practice address phone:** (214) 221-2580
- **Practice address fax:** (214) 446-2323
- **Mailing address:** 7920 BELT LINE RD, SUITE \# 120, DALLAS, TX 75254-8145
- **Mailing address phone:** (214) 221-2580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | H2294 | TX | Yes |

## Other

- **Enumeration date:** 07/22/2009
- **Last updated:** 07/22/2009