Organization
ELITE WOMEN'S WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANKAJ NAKARANI MD (CHIEF OPERATING OFFICER)
(909) 479-9260
Entity
Organization
Contact information
Practice address
935 YORK DR, DESOTO, TX 75115-2043
(972) 296-4777
(972) 297-5499
Mailing address
935 YORK DR, DESOTO, TX 75115-2043
(972) 296-4777
(972) 297-5499
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036227901
—
TX
Enumeration date
10/03/2023
Last updated
01/18/2024
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