Organization
ELEVANI HEALTH GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PAYESTEH MD (SOLE MBR)
(817) 328-1922
Entity
Organization
Contact information
Practice address
520 E NORTHWEST HWY, STE. 102, GRAPEVINE, TX 76051-6297
(817) 328-1922
(817) 332-8193
Mailing address
520 E NORTHWEST HWY, STE. 102, GRAPEVINE, TX 76051-6297
(817) 328-1922
(817) 332-8193
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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