Organization
ELEVATION HEALTH HIGHLAND VILLAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HENDERSON (BUSINESS MANAGER)
(817) 697-2560
Entity
Organization
Contact information
Practice address
2150 JUSTIN RD STE 100, HIGHLAND VILLAGE, TX 75077-7126
(469) 763-3221
(469) 763-3222
Mailing address
7948 DAVIS BLVD STE 100, NORTH RICHLAND HILLS, TX 76182-6953
(817) 697-2560
(817) 577-2345
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851829774
INDIVIDUAL NPI
TX
Enumeration date
06/08/2017
Last updated
06/08/2017
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