Organization
ELEVATE COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN TARASENKO (STRATEGIC DEVELOPMENT DIRECTOR)
(281) 540-0063
Entity
Organization
Contact information
Practice address
24721 TOMBALL PARKWAY SUITE 160, TOMBALL, TX 77375
(281) 540-0063
Mailing address
24721 TOMBALL PARKWAY SUITE 160, TOMBALL, TX 77375
(281) 540-0063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
11/17/2023
Last updated
01/16/2026
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