Organization
ELLIOTT-THOMAS HEALTH CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M ELLIOTT MD (PHYSICIAN)
(903) 569-2006
Entity
Organization
Contact information
Practice address
415 W KILPATRICK ST, MINEOLA, TX 75773-2032
(903) 569-2006
(903) 569-2206
Mailing address
415 W KILPATRICK ST, MINEOLA, TX 75773-2032
(903) 569-2006
(903) 569-2206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L1568
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00609U
MEDICARE PTAN
TX
01
—
110247094
RAILROAD MEDICARE
TX
05
—
165700901
—
TX
01
—
8H0920
BCBS
TX
01
—
B74324
UPIN
TX
Enumeration date
10/15/2007
Last updated
02/21/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us