Organization
ELITE SURGICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE WALKER RN, BSN, CRNFA, CNOR (PRESIDENT/OWNER)
(817) 917-5651
Entity
Organization
Contact information
Practice address
13521 MANE CT, JUSTIN, TX 76247-1110
(817) 917-5651
(940) 648-1293
Mailing address
13521 MANE CT, JUSTIN, TX 76247-1110
(817) 917-5651
(940) 648-1293
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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