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Organization
EXCEPTIONAL CARE ELITE PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Organization
EXCEPTIONAL CARE ELITE PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATASHIA RENAE IRVING MD (OWNER/MEDICAL DOCTOR)
(832) 277-5843
Entity
Organization
Contact information
Practice address
400 N SAM HOUSTON PKWY E STE 280, HOUSTON, TX 77060-3548
(832) 277-5843
Mailing address
400 N SAM HOUSTON PKWY E STE 280, HOUSTON, TX 77060-3548
(832) 277-5843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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