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Organization
ELITE PHYSICAL MEDICINE PLLC
Active
Organization
ELITE PHYSICAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB STUTZ (ADMINISTRATOR)
(832) 622-6031
Entity
Organization
Contact information
Practice address
3535 VICTORY GROUP WAY STE 505, FRISCO, TX 75034-6732
(832) 622-6031
Mailing address
3535 VICTORY GROUP WAY STE 505, FRISCO, TX 75034-6732
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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