# ELITE SURGICAL, P.C.

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

## Provider details

- **NPI number:** 1063001428
- **Authorized official:** CHRISTINE WALKER RN, BSN, CRNFA, CNOR (PRESIDENT/OWNER)
- **Authorized official phone:** (817) 917-5651

## Contact information

- **Practice address:** 13521 MANE CT, JUSTIN, TX 76247-1110
- **Practice address phone:** (817) 917-5651
- **Practice address fax:** (940) 648-1293
- **Mailing address:** 13521 MANE CT, JUSTIN, TX 76247-1110
- **Mailing address phone:** (817) 917-5651
- **Mailing address fax:** (940) 648-1293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | — |
| 163WR0006X | Registered Nurse First Assistant | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VX0201X | Gynecologic Oncology Physician | — | NULL | — |
| 207VX0201X | Gynecologic Oncology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 01/11/2021
- **Last updated:** 01/11/2021