Organization
RADICAL ELEVATION TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RADICAL ELEVATION (CEO)
(702) 482-7441
Entity
Organization
Contact information
Practice address
16510 NORTHCHASE DR STE 113, HOUSTON, TX 77060-3302
(702) 608-1488
Mailing address
3551 E BONANZA RD STE 101, LAS VEGAS, NV 89110-2198
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/26/2026
Last updated
02/20/2026
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