| Elite Primary Care And Wellness, Pllc | |
|
8713 Milwaukee Ave Ste 100 Lubbock TX 79424-0927 | |
| (806) 407-5885 | |
| (806) 407-5883 |
| Full Name | Elite Primary Care And Wellness, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 8713 Milwaukee Ave Ste 100, Lubbock, Texas |
| Authorized Official Name and Position | Talynn Harvey (MEMBER) |
| Authorized Official Contact | 4325594329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Primary Care And Wellness, Pllc 8713 Milwaukee Ave Ste 100 Lubbock TX 79424-0927 Ph: (806) 407-5885 | Elite Primary Care And Wellness, Pllc 8713 Milwaukee Ave Ste 100 Lubbock TX 79424-0927 Ph: (806) 407-5885 |
| NPI Number | 1891473088 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 9335501725 |
|---|---|
| Medicare Enrollment ID | O20230817000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891473088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | Olga Ovdyeyenko Dowell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811334105 PECOS PAC ID: 9234429986 Enrollment ID: I20160805000175 |
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