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Organization

ELITE BOUTIQUE SOLUTIONS

Active
Other names
Elite boutique solutions health, Ebs, E b health care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL T SMITH JR. LVN, LPN, BSN, NP (PRESIDENT, PROVIDER)
(251) 219-9660
Entity
Organization

Contact information

Practice address
13003 SHALLOW FALLS LN, PEARLAND, TX 77584-6525
(251) 219-9660
Mailing address
7205 ALMEDA RD UNIT 300171, HOUSTON, TX 77230-1059
(832) 788-7624

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163WC1600X
Continuing Education/Staff Development Registered Nurse
251300000X
Local Education Agency (LEA)
251B00000X
Case Management Agency
251J00000X
Nursing Care Agency
251K00000X
Public Health or Welfare Agency
284300000X
Special Hospital
302F00000X
Exclusive Provider Organization
302R00000X
Health Maintenance Organization
Primary
305S00000X
Point of Service
333600000X
Pharmacy
347D00000X
Train
363L00000X
Nurse Practitioner
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/15/2022
Last updated
04/30/2023
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