# EXCEPTIONAL CARE ELITE PROFESSIONAL LIMITED LIABILITY COMPANY

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

## Provider details

- **NPI number:** 1700582863
- **Authorized official:** DR. LATASHIA RENAE IRVING MD (OWNER/MEDICAL DOCTOR)
- **Authorized official phone:** (832) 277-5843

## Contact information

- **Practice address:** 400 N SAM HOUSTON PKWY E STE 280, HOUSTON, TX 77060-3548
- **Practice address phone:** (832) 277-5843
- **Mailing address:** 400 N SAM HOUSTON PKWY E STE 280, HOUSTON, TX 77060-3548
- **Mailing address phone:** (832) 277-5843

## Taxonomy

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

## Other

- **Enumeration date:** 02/01/2023
- **Last updated:** 02/01/2023