ELITE PHC CORPORATION (NPI# 1477602175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477602175 |
| Entity Type | Organization |
| Organization Name | ELITE PHC CORPORATION |
| Practice Address |
220 E Ocean Blvd Los Fresnos TX 78566-3227 |
| Practice Telephone | 9562331202 |
| Practice Fax Number | 9562331175 |
| Mailing Telephone | 9562331202 |
| Mailing Fax Number | 9562331175 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | MR. GAINES LOUIS BURNS SR. (CEO) |
| Authorized Official Telephone | 9562331202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
007352 | TX | Ambulatory Health Care Facilities |
| Street Address |
220 E OCEAN BLVD |
| City | LOS FRESNOS |
| State | TX |
| Zip Code | 78566-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457697070 | Maria Carmen Cavazos | Technician | 220 E Ocean Blvd, Los Fresnos, TX 78566-3227 | 2012-12-31 |
| 1649539834 | Amazing Grace Primary Home Care LLC | In Home Supportive Care | 220 E Ocean Blvd, Los Fresnos, TX 78566-3227 | 2012-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336469 | Lisa Christina Krawczynski | Pharmacist | Walmart Supercenter, 1004 W. Ocean Blvd., Los Fresnos, TX 78566 | 2020-11-04 |
| 1093320277 | Rosa Linda Cruz | Counselor | Fm 2893, Los Fresnos, TX 78566 | 2020-09-14 |
| 1437771672 | Apollo Health Care, Inc. | Home Health | 30317 Share 28 Road, Los Fresnos, TX 78566 | 2020-05-11 |
| 1104345040 | Griselda Ann Alaniz | Counselor | 32963 Samuel Rd, Los Fresnos, TX 78566 | 2017-09-12 |
| 1821527912 | Juan Manuel Leyva Jr. | Nurse Practitioner | 810 W Ocean Blvd Ste A1, Los Fresnos, TX 78566 | 2017-06-12 |
| 1871740001 | Julian F. Alvarez, Md. Pediatric Clincic | Pediatrics | 323 W. Ocean Blvd. Suite 104, Los Fresnos, TX 78566 | 2008-08-19 |
| 1811900103 | Adam Michael Lalonde | Dentist | 810 W Ocean Blvd, Suite C1, Los Fresnos, TX 78566 | 2006-08-15 |
| 1770543654 | Grayson L Sellers | Dentist | 810 W Ocean Blvd C1, Los Tresnos, TX 78566 | 2006-03-24 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1326551458 | Sarah Blankenship | Specialist/Technologist | 907 N Arroyo Blvd, Los Fresnos, TX 78566-3109 | 2017-11-11 |
| Find all providers in zip 78566 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1447857255 | Fairgrounds Family Clinic Pllc | Clinic/Center | 4505 Hummingbird Ln N, Harlingen, TX 78552-2422 | 2020-10-05 |
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| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | LOS FRESNOS |
| Zip Code | 78566 |
Please comment or provide details below to improve the information on ELITE PHC CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.