# ELITE HEALTHCARE CLINIC LLC

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

## Provider details

- **NPI number:** 1386431864
- **Authorized official:** WENDY D CROTTS APRN (OWNER)
- **Authorized official phone:** (580) 571-2275

## Contact information

- **Practice address:** 417 SW 7TH ST, MOORELAND, OK 73852-7602
- **Practice address phone:** (580) 994-2180
- **Practice address fax:** (580) 994-2184
- **Mailing address:** PO BOX 207, MOORELAND, OK 73852-0207
- **Mailing address phone:** (580) 571-2275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2025
- **Last updated:** 04/21/2025