Organization
PRO-ELITE MANAGEMENT SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE RIVAS MD (MEDICAL DIRECTOR)
(941) 779-4870
Entity
Organization
Contact information
Practice address
21685 KINGSLAND BLVD, KATY, TX 77450-2512
(346) 594-2104
(346) 594-2103
Mailing address
21685 KINGSLAND BLVD, KATY, TX 77450-2512
(346) 594-2104
(346) 594-2103
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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