| Elite Healthcare Of Mansfield | |
|
1600 Highway 287 N Suite 104 Mansfield TX 76063-8853 | |
| (817) 453-5001 | |
| Not Available |
| Full Name | Elite Healthcare Of Mansfield |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 Highway 287 N, Mansfield, Texas |
| Authorized Official Name and Position | Keith Jensen (PRESIDENT) |
| Authorized Official Contact | 8174535001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Healthcare Of Mansfield 1600 Highway 287 N Suite 104 Mansfield TX 76063-8853 Ph: (817) 453-5001 | Elite Healthcare Of Mansfield 1600 Highway 287 N Suite 104 Mansfield TX 76063-8853 Ph: (817) 453-5001 |
| NPI Number | 1942371687 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942371687 | NPI | - | NPPES |
| 0040EG | Other | TX | BLUE CROSS BLUE SHIELD TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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