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Organization
ELEVATE SENIORS LLC
Active
Organization
ELEVATE SENIORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER SIMMONS MD (OWNER)
(480) 398-5555
Entity
Organization
Contact information
Practice address
5050 QUORUM DR STE 700, DALLAS, TX 75254-1410
(480) 398-5555
Mailing address
5050 QUORUM DR STE 700, DALLAS, TX 75254-1410
(480) 398-5555
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
—
NULL
363LC0200X
Critical Care Medicine Nurse Practitioner
—
—
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
—
NULL
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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