Organization
ELITE PRIMARY CARE PA
Active
Organization
ELITE PRIMARY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASIF AZIZ MD (PRESIDENT)
(408) 910-0840
Entity
Organization
Contact information
Practice address
4004 MEDICAL PKWY, GREENVILLE, TX 75401-7854
(903) 450-1515
(903) 450-9466
Mailing address
4004 MEDICAL PKWY, GREENVILLE, TX 75401-7854
(903) 450-1515
(903) 450-9466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N2391
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB 109980
MEDICARE GROUP PTAN
TX
Enumeration date
06/14/2010
Last updated
12/20/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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