# ELEVANI HEALTH GROUP, PLLC

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

## Provider details

- **NPI number:** 1174987663
- **Authorized official:** DAVID PAYESTEH MD (SOLE MBR)
- **Authorized official phone:** (817) 328-1922

## Contact information

- **Practice address:** 520 E NORTHWEST HWY, STE. 102, GRAPEVINE, TX 76051-6297
- **Practice address phone:** (817) 328-1922
- **Practice address fax:** (817) 332-8193
- **Mailing address:** 520 E NORTHWEST HWY, STE. 102, GRAPEVINE, TX 76051-6297
- **Mailing address phone:** (817) 328-1922
- **Mailing address fax:** (817) 332-8193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2016
- **Last updated:** 04/11/2016