Organization
ELIXIR 360 HEALTH
Active
Other names
Elixir 360 Health
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDER AGARWAL (AUTHORIZED OFFICIAL)
(817) 704-0847
Entity
Organization
Contact information
Practice address
751 E SOUTHLAKE BLVD STE 129, SOUTHLAKE, TX 76092-6982
(817) 704-0847
Mailing address
751 E SOUTHLAKE BLVD STE 129, SOUTHLAKE, TX 76092-6982
(817) 704-0847
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
09/24/2025
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