Elevani Health Group, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ELEVANI HEALTH GROUP, PLLC

Practice address

2606 Harwood Rd
Bedford, TX 76021-3700

Phone

(817) 540-1500

Fax

(817) 571-6900

NPI assigned

Dec 20, 2016

Organization subpart

No

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

Authorized official

Name

David Payesteh, MD

Title

Sole MBR

Phone

(817) 328-1922

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1104361682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 HARWOOD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760213700",
            "telephone_number": "817-540-1500",
            "fax_number": "817-571-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 HARWOOD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760213700",
            "telephone_number": "817-540-1500",
            "fax_number": "817-571-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVANI HEALTH GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "PAYESTEH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "817-328-1922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Bedford, TX
• Providers in Bedford, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.