# ELITE HEALTHCARE SOUTH DALLAS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1548683279
- **Authorized official:** MRS. JEN LEE WHISLER-PARVIN (COLLECTIONS COORD.)
- **Authorized official phone:** (972) 417-9922

## Contact information

- **Practice address:** 4305 PINNACLE POINT DR., \# 301, DALLAS, TX 75211
- **Practice address phone:** (214) 337-2100
- **Practice address fax:** (214) 337-2108
- **Mailing address:** PO BOX 1752, FRISCO, TX 75034
- **Mailing address phone:** (972) 417-9922
- **Mailing address fax:** (972) 417-9605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | DC8314 | TX | — |
| 111NR0400X | Rehabilitation Chiropractor | DC9745 | TX | — |
| 261QP2000X | Physical Therapy Clinic/Center | PT1107050 | TX | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | DC8314 | TX | Yes |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | DC9745 | TX | — |

## Other

- **Enumeration date:** 01/31/2014
- **Last updated:** 08/14/2015