Organization
TEXAS ELITE HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE KAY POWELL RN, MSN, FNP (FAMILY NURSE PRACTITIONER)
(972) 402-9700
Entity
Organization
Contact information
Practice address
1304 VILLAGE CREEK DR, SUITE 300-B, PLANO, TX 75093-4472
(972) 402-9700
(972) 402-9706
Mailing address
PO BOX 116762, CARROLLTON, TX 75011-6762
(972) 402-9700
(972) 402-9706
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
774439
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2971285-01
—
TX
Enumeration date
08/23/2011
Last updated
09/17/2012
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