# ELITE ENDODONTICS, P.C.

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

## Provider details

- **NPI number:** 1366746596
- **Authorized official:** DR. KARRIEM ROBERT THURMAN DDS (OWNER/DENTIST)
- **Authorized official phone:** (210) 599-9900

## Contact information

- **Practice address:** 11901 TOEPPERWEIN ROAD, SUITE 902, SAN ANTONIO, TX 78233-3161
- **Practice address phone:** (210) 599-9900
- **Practice address fax:** (210) 599-9504
- **Mailing address:** 11901 TOEPPERWEIN ROAD, SUITE 902, SAN ANTONIO, TX 78233-3161
- **Mailing address phone:** (210) 599-9900
- **Mailing address fax:** (210) 599-9504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 051276-1 | NY | Yes |

## Other

- **Enumeration date:** 01/03/2011
- **Last updated:** 01/03/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1952513616 | NPPES | NJ |
