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Organization

ELIXIR 360 HEALTH

Active
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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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