Organization
ELITE PRIME LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARVITZ RICHMOND (COO)
(424) 346-2474
Entity
Organization
Contact information
Practice address
5700 TENNYSON PKWY STE 300, PLANO, TX 75024-3595
(424) 346-2474
Mailing address
5700 TENNYSON PKWY STE 300, PLANO, TX 75024-3595
(424) 346-2474
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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