# LOVEDALE ENTERPRISES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elysian Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134985591
- **Authorized official:** ISMAIL SHAKOOR BOODHWANI APRN (OWNER)
- **Authorized official phone:** (214) 430-4384

## Contact information

- **Practice address:** 2100 W COLORADO BLVD, DALLAS, TX 75211-1900
- **Practice address phone:** (214) 430-4384
- **Practice address fax:** (214) 430-4608
- **Mailing address:** 2100 W COLORADO BLVD, DALLAS, TX 75211-1900
- **Mailing address phone:** (214) 943-4631
- **Mailing address fax:** (877) 416-0310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/23/2024
- **Last updated:** 08/29/2024