Organization
ELYTE SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANNA VILLARREAL (BILLING MANAGER)
(214) 295-6703
Entity
Organization
Contact information
Practice address
4007 MCCULLOUGH AVE # 272, SAN ANTONIO, TX 78212-2420
(214) 295-6703
(214) 245-5267
Mailing address
4007 MCCULLOUGH AVE # 272, SAN ANTONIO, TX 78212-2420
(214) 295-6703
(214) 245-5267
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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