Organization
ELEVATE INNOVATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ALBERT CLARK JR. (OWNER)
(984) 304-5676
Entity
Organization
Contact information
Practice address
4274 DUCK CREEK DR # 12-106, GARLAND, TX 75043-6985
(984) 304-5676
Mailing address
4274 DUCK CREEK DR, GARLAND, TX 75043-6985
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
03/19/2026
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