Texas Elite Health Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

774439 Issued in TX

Legal business name

TEXAS ELITE HEALTH CLINIC, LLC

Practice address

1304 Village Creek Dr
Suite 300-B
Plano, TX 75093-4472

Phone

(972) 402-9700

Fax

(972) 402-9706

NPI assigned

Aug 23, 2011

Last updated

Sep 17, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Julie Kay Powell, RN, MSN, FNPNPI 1467495465

Title

Family Nurse Practitioner

Phone

(972) 402-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Kay Powell, DC, RN, MSN, FNP

  • Family Nurse Practitioner
  • Plano, TX
  • NPI 1467495465
  Medicare reassignment NPD Authorized official
• Jawad Ahmad Qureshi, MD

  • Ophthalmology Physician
  • Southlake, TX
  • NPI 1811926769
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1033499967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116762",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750116762",
            "telephone_number": "972-402-9700",
            "fax_number": "972-402-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 VILLAGE CREEK DR",
            "address_2": "SUITE 300-B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934472",
            "telephone_number": "972-402-9700",
            "fax_number": "972-402-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ELITE HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "972-402-9700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MSN, FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "774439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2971285-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas Concussion Management, PLLC
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• Texas Dental, P.a.
• Texas Diagnostic Imaging, P.a.
• Texas Diagnostic Services PLLC
• Texas Em-1 Medical Services, PA
• Texas Endoscopy Centers, LLC (Texas Endoscopy)
• Texas Endoscopy Centers, LLC (Texas Endoscopy at Independence Medical Village)
• Texas Endoscopy LLC (Texas Endoscopy)
• Texas Eye & Aesthetic Center

• Primary Care Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.