| Elevani Health Group, Pllc | |
|
520 E Northwest Hwy Ste. 102 Grapevine TX 76051-6297 | |
| (817) 328-1922 | |
| (817) 332-8193 |
| Full Name | Elevani Health Group, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 520 E Northwest Hwy, Grapevine, Texas |
| Authorized Official Name and Position | David Payesteh (SOLE MBR) |
| Authorized Official Contact | 8173281922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevani Health Group, Pllc 520 E Northwest Hwy Ste. 102 Grapevine TX 76051-6297 Ph: (817) 328-1922 | Elevani Health Group, Pllc 520 E Northwest Hwy Ste. 102 Grapevine TX 76051-6297 Ph: (817) 328-1922 |
| NPI Number | 1174987663 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 04/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174987663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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