Organization
ELITE CARE PHYSICIANS
Active
Organization
ELITE CARE PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DEJESUS (PRESIDENT)
(737) 747-2293
Entity
Organization
Contact information
Practice address
1111 S MAIN ST STE 119, GRAPEVINE, TX 76051-5577
(737) 747-2293
(737) 747-2294
Mailing address
508 MYRTLE CT, KELLER, TX 76248-2858
(737) 747-2293
(737) 747-2294
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
2251G0304X
Geriatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/06/2018
Last updated
06/14/2021
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.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up