Organization
ELICORP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH E OMODON (MEMBER)
(469) 691-0604
Entity
Organization
Contact information
Practice address
3118 MOCCASIN LN, AUBREY, TX 76227-1060
(469) 691-0604
Mailing address
3118 MOCCASIN LN, AUBREY, TX 76227-1060
(469) 691-0604
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/18/2025
Last updated
03/30/2025
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