# ELIXIR MEDICAL CENTER PLLC

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

## Provider details

- **NPI number:** 1801588017
- **Authorized official:** MOSTAFA S ELSAKKA MD (MANAGING PHYSICIAN)
- **Authorized official phone:** (217) 819-2417

## Contact information

- **Practice address:** 15340 DALLAS PKWY STE 2740, DALLAS, TX 75248-4664
- **Practice address phone:** (217) 819-2417
- **Mailing address:** 6802 CHESWICK CT, PARKER, TX 75002-3024
- **Mailing address phone:** (217) 819-2417

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2023
- **Last updated:** 05/25/2023