Organization
ELITE ADVANTAGE DM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIA S. DAVIS RN (ADMINISTRATOR)
(713) 462-0216
Entity
Organization
Contact information
Practice address
4480 BLALOCK RD STE 500, HOUSTON, TX 77041-9119
(713) 462-0216
Mailing address
4480 BLALOCK RD STE 500, HOUSTON, TX 77041-9119
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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