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Organization
ELITE NP CLINIC PLLC
Active
Organization
ELITE NP CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA WASHINGTON FNP (OWNER)
(469) 857-3101
Entity
Organization
Contact information
Practice address
412 E PLEASANT RUN RD STE B, DESOTO, TX 75115-3936
(682) 325-9617
Mailing address
412 E PLEASANT RUN RD STE B, DESOTO, TX 75115-3936
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/28/2017
Last updated
03/02/2023
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