# ELITE ADVANTAGE DM, LLC

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

## Provider details

- **NPI number:** 1457465148
- **Authorized official:** LUCIA S. DAVIS RN (ADMINISTRATOR)
- **Authorized official phone:** (713) 462-0216

## Contact information

- **Practice address:** 4480 BLALOCK RD STE 500, HOUSTON, TX 77041-9119
- **Practice address phone:** (713) 462-0216
- **Mailing address:** 4480 BLALOCK RD STE 500, HOUSTON, TX 77041-9119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 08/22/2020