Organization
ELITE PROFESSIONAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMOS A BRITO CSFA (CEO)
(817) 525-5856
Entity
Organization
Contact information
Practice address
5128 BAYRIDGE CT., FORT WORTH, TX 76179-4255
(817) 525-5856
Mailing address
PO BOX 938, ROWLETT, TX 75030-0938
(817) 525-5856
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
02/17/2019
Last updated
03/18/2019
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