Organization
ELITE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN VILLENA (FNP-C)
(903) 570-0453
Entity
Organization
Contact information
Practice address
5520 OLD BULLARD RD STE 120, TYLER, TX 75703-4361
(903) 570-0453
(903) 817-4423
Mailing address
5520 OLD BULLARD RD STE 120, TYLER, TX 75703-4361
(903) 570-0453
(903) 817-4423
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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