Organization
ELITE PHC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAINES LOUIS BURNS SR. (CEO)
(956) 233-1202
Entity
Organization
Contact information
Practice address
220 E OCEAN BLVD, LOS FRESNOS, TX 78566-3227
(956) 233-1202
(956) 233-1175
Mailing address
220 E OCEAN BLVD, LOS FRESNOS, TX 78566-3227
(956) 233-1202
(956) 233-1175
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
007352
TX
Other
Enumeration date
01/10/2007
Last updated
03/20/2008
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