# ELEVATE PCW TX LLC

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

## Provider details

- **NPI number:** 1508772252
- **Authorized official:** AQSA JAMAL (OWNER)
- **Authorized official phone:** (469) 693-7164

## Contact information

- **Practice address:** 812 W MCDERMOTT DR \# 1211, ALLEN, TX 75013-6500
- **Practice address phone:** (469) 693-7164
- **Mailing address:** 812 W MCDERMOTT DR \# 1211, ALLEN, TX 75013-6500

## Taxonomy

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

## Other

- **Enumeration date:** 08/21/2026
- **Last updated:** 08/21/2026