Organization
MEDI- ELITE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHALIA L JACKSON-BUTLER DNP, APRN (CEO)
(214) 277-2243
Entity
Organization
Contact information
Practice address
2721 CENTRAL DR, BEDFORD, TX 76021-4810
(682) 703-8881
(706) 203-3259
Mailing address
4621 S COOPER ST STE 131-717, ARLINGTON, TX 76017-5866
(214) 277-2243
(214) 231-2926
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
311ZA0620X
Adult Care Home Facility
AP117597
TX
314000000X
Skilled Nursing Facility
AP117597
TX
363L00000X
Nurse Practitioner
AP117597
TX
363LA2200X
Adult Health Nurse Practitioner
AP117597
TX
363LC1500X
Community Health Nurse Practitioner
AP117597
TX
363LP2300X
Primary Care Nurse Practitioner
AP117597
TX
Other
Enumeration date
02/03/2012
Last updated
11/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us