Organization
ELITE MEDICAL & MOBILITY, LLC
Active
Other names
Elite Medical
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA ETZEL (OWNER)
(214) 872-1880
Entity
Organization
Contact information
Practice address
7111 ELM ST, FRISCO, TX 75034-4234
(214) 872-1880
(214) 380-9393
Mailing address
11812 COUNTY ROAD 1104, CELINA, TX 75009-2776
(214) 697-4851
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318679301
—
TX
Enumeration date
11/12/2012
Last updated
04/13/2023
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