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Organization

EXCEPTIONAL CARE ELITE PROFESSIONAL LIMITED LIABILITY COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LATASHIA RENAE IRVING MD (OWNER/MEDICAL DOCTOR)
(832) 277-5843
Entity
Organization

Contact information

Practice address
400 N SAM HOUSTON PKWY E STE 280, HOUSTON, TX 77060-3548
(832) 277-5843
Mailing address
400 N SAM HOUSTON PKWY E STE 280, HOUSTON, TX 77060-3548
(832) 277-5843

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
02/01/2023
Last updated
02/01/2023
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